Endoscopic and surgical treatment of jejunal gallstone ileus caused by cholecystoduodenal fistula: A case report

Figure 5 First propulsive enteroscopic examination. A: We found a deep ulcer in the duodenal bulb close to the pylorus with yellow purulent secretion on the surface and mucosal edema (white arrow); B: Food residue was abundant proximal to the stone; C-F: We could see a stone incarceration in the upper jejunum 1.4 m from the incisor (white arrows); D: We failed to remove the stone with a snare; E-F: We performed laser lithotripsy and injected sodium bicarbonate on the stone.