Gallstone ileus, clinical presentation, diagnostic and treatment approach

Figure 6 Surgical findings in a patient with gallstone ileus. A: An impacted gallstone was found in distal jejunum. A smaller gallstone proximal to the impacted one is observed; B: Enterotomy over the site of the impacted gallstone; C: Intestinal wall compromise due to gallstone impaction can be observed; D: The offending gallstone, plus four of smaller dimensions found in proximal jejunum. An obstructing gallstone was found and extracted from the common bile duct in the same patient (gallstone on the right).