PMC6636471_01
Plain abdominal X-ray: an irregular calcified structure in the right midabdomen.
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fig1
Plain abdominal X-ray showed an irregular partially rim calcified focus in the right midabdomen and absence of air in the distal bowel (Figure 1).
(a) TC axial view: gallstone obstructing the duodenum. (b) TC coronal view: gallstone obstructing the duodenum. Gastric distention. (c) TC coronal view: alteration of the planes surrounding the gallstone and limited pneumobilia.
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fig2
Computed tomography of the abdomen revealed a multilithiasic gallbladder with alteration of the surrounding fatty tissue, pneumobilia, gastric distention, and a 45 mm x 32 mm calcic stone located in the duodenal bulb (Figure 2).
Fluoroscopic study: progression of the contrast through the duodenum without any leaks.
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fig3
On postoperative day (POD) 4, we performed a fluoroscopic contrast study showing no leaks or obstructions to the passage of the contrast solution (Figure 3).