Ileal gallstone obstruction: Single-balloon enteroscopic removal

Figure 1 Upper gastrointestinal endoscopy showing a deep ulcer of the duodenal bulb.

Figure 2 Abdominal computed tomography-scan. A: The typical image of mechanical small bowel obstruction with distended small bowel loops reaching to the mid ileum as well as pneumobilia of the central biliary tract; B: A calcified mass of 5 cm in diameter located in the distal small bowel.

Figure 3 Single-balloon enteroscopy via the oral route revealing a calculus, about 450 cm distant from the pylorus, completely occluding the intestinal lumen.

Figure 4 Plain X-ray showing an ileal calculus endoscopically captured with a dormia basket guided by single-balloon enteroscopy.

Figure 5 Removed gallstone fragments.