PMC7576345_01
CT scan demonstrating large gallstone (white arrow) causing a small bowel obstruction.
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fig1
She was found to have a leukocytosis of 20 k/mcL and CT scan findings consistent with pneumobilia, a small bowel obstruction, and an ectopic gallstone (Figure 1).
Enterotomy with large gallstone exposed.
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fig2
The enterotomy was closed in a transverse fashion using an endoscopic suturing device to avoid narrowing of the small bowel lumen (Figures 2-4), similar to a Heineke-Mikulicz pyloroplasty.
Gallstone placed in endoscopic retrieval bag.
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fig3
The enterotomy was closed in a transverse fashion using an endoscopic suturing device to avoid narrowing of the small bowel lumen (Figures 2-4), similar to a Heineke-Mikulicz pyloroplasty.
Transverse closure of longitudinal enterotomy.
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fig4
The enterotomy was closed in a transverse fashion using an endoscopic suturing device to avoid narrowing of the small bowel lumen (Figures 2-4), similar to a Heineke-Mikulicz pyloroplasty.