PMC5075608_01
Contrast-enhanced computed tomographic image showing dilated jejunal loop (up to 5 cm in diameter) with a large calcified ring (black arrow).
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fig1
A computed tomography scan with oral contrast was performed and showed proximal dilated jejunal loop (up to 5 cm in diameter) with a large ring of calcification likely suggestive of ascariasis (Figure 1); the rest of the bowels had a normal caliber.
Intraoperative findings. Impacted proximal jejunal stone causing obstruction (white arrow).
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fig2
A mass about 5.5 cm in size was found to be obstructing the proximal jejunum about 30 cm from the ligament of Treitz (Figure 2).
Large stone extracted from within the jejunal lumen by enterotomy with subsequent primary closure.
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fig3
An enterotomy was performed directly over the mass and a large stone was extracted from within the jejunal loop (Figure 3).