PMC5703761_01
EGD showing an obstructing gallstone in the duodenal bulb.
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F1
EGD revealed retained food in the stomach and what appeared to be a large, approximately 2-cm obstructing gallstone in the duodenal bulb (Figure 1).
Coronal computed tomography showing a fistulous tract between the gallbladder and the duodenum.
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F2
An emergent computed tomography of the abdomen confirmed a fistulous tract between the gallbladder and duodenum (Figure 2).
An additional stone impacted within the cholecystoduodenal fistula.
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F3
An additional stone that was impacted within the cholecystoduodenal fistula was removed successfully using a stone-extracting balloon (Figure 3).
Endoscopic suturing device closing the cholecystoduodenal fistula with one suture.
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F4
An endoscopic suturing device was utilized to place one endoscopic suture, resulting in complete closure of the fistula (Figure 4).