PMC6690574_01
a - Rigler's triad (ectopic gallstone, bowel dilatation, pneumobilia in biliary tract). b - Evident Forchet sign (snake head like).
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fig0005
On the images of the patient who was performed oral-iv contrast-enhanced abdominal but, it was found that the patient had gallstone ileus after the Rigler's triad and a prominently viewed forchet sign were seen (Fig. 1).
a - Jejenum completely occluded by a large mass. b - The mass extracted by enterolithotomy (gallstone). c - Size of gallstone (6 x 4 cm).
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PMC6690574_01_gr2.jpg
fig0010
After enterolithotomy, small bowel was repaired double transversely (Fig. 2).