PMC6313996_01
CT scan of the abdomen showing a duodenal diverticulum with dilation of the biliopancreatic limb secondary to high-grade obstruction at the distal jejunum.
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fig1
A CT scan of the abdomen revealed a very distended gastric remnant and what appeared to be a bowel obstruction distal to the jejunojejunostomy (Figure 1).
The 4.5 cm enterolith recovered from the distal jejunum/proximal ileum. Stone analysis showed this enterolith was composed of 100% bile salts.
CRIS2018-8965930.002.jpg
PMC6313996_01_CRIS2018-8965930.002.jpg
fig2
The enterolith was sent to an outside laboratory for stone analysis and was found to contain 100% bile salts (Figure 2).