PMC7264957_01
Abdominal CT scan showing a dilated stomach and a calcified stone impacted in the second portion of duodenum.
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Abdominal computed tomography (CT) scan showed the presence of a dilated stomach and a large stone impacted in the duodenum (Fig. 1), caused by a cholecysto-duodenal fistula, without the presence of further gallstone in the gallbladder.
Gallstone impacted in the duodenum measuring 7 x 3.5 cm.
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The stone measured 7 x 3.5 cm (Fig. 2).
PMC7264957_02
Abdominal CT scan showing a subtotal stenosis of the lumen of the second duodenal portion.
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Abdominal CT scan showed the presence of a subtotal stenosis of the lumen of the second duodenal portion caused by a nodular lesion (Fig. 3) with concomitant gastric distension.
Upper endoscopy demonstrates a large, round, smooth mass occupying alomst the entire duodenal lumen.
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Esophagogastroduodenoscopy revealed a large, round, smooth, non-friable and non-fleshy mass (gallstone) occupying almost the entire duodenal lumen (Fig. 4).
(a) Gastrotomy at the antrum. (b) Extraction of the gallstone from the stomach.
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III and underwent laparotomy. Intraoperatively, the gallbladder was found to be adherent to the duodenum and a gallstone was found impacted in the second part of the duodenum and was manually moved into the stomach to be retrieved by a gastrotomy (Fig. 5).