PMC4133753_01
CT image demonstrating small-bowel obstruction due to a 40 mm high-density image within a jejunal loop.
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After the initial examination, computed tomography (CT) was performed, which demonstrated small-bowel obstruction by a 40 mm high-density image in a jejunal loop (Fig. 1).
CT images demonstrating free air in the left hepatic biliary branch.
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Additionally, the scan showed pneumobilia in the left hepatic biliary branch and thickening between the gallbladder and the duodenal walls (Fig. 2).
A 5 x 4 x 3 cm gallstone extracted from jejenum.
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An obstruction was observed approximately 50-60 cm from the ligament of Treitz, where an enterotomy was performed to extirpate a 5 x 4 x 3 cm gallstone (Fig. 3).