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We present a case of a middle-aged woman who was thought to have symptomatic cholelithiasis. Extensive adhesions precluded safe cholecystectomy. While hepatobiliary iminodiacetic acid scan and magnetic resonance imaging with cholangiopancreatography (MRI-MRCP) failed to visualize the gallbladder, computed tomography (CT) was consistent with cholecystoduodenal fistula. A very large gallstone was seen endoscopically in the duodenum, which was broken down into pieces using a large stiff snare.<\/jats:p>","DOI":"10.1055\/s-0041-1739541","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:13:07Z","timestamp":1638490387000},"page":"034-037","source":"Crossref","is-referenced-by-count":0,"title":["The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula"],"prefix":"10.1055","volume":"12","author":[{"given":"Sarvani","family":"Surapaneni","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Wayne State University, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2163-2042","authenticated-orcid":false,"given":"Wissam","family":"Kiwan","sequence":"additional","affiliation":[{"name":"Gastroenterology Division, University of Southern California, Los Angeles, California, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael K.","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wayne State University, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alkis","family":"Zingas","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wayne State University, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4659-732X","authenticated-orcid":false,"given":"Shakir","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wayne State University, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray","family":"Ehrinpreis","sequence":"additional","affiliation":[{"name":"Gastroenterology Division, Wayne State University, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1007\/s00268-007-9011-9","article-title":"Gallstone ileus: diagnosis and management","volume":"31","author":"A A Ayantunde","year":"2007","journal-title":"World J Surg"},{"issue":"04","key":"ref2","first-page":"14","article-title":"Bouveret's syndrome: a case report","volume":"2","author":"D J Warren","year":"2008","journal-title":"J Radiol Case Rep"},{"issue":"03","key":"ref3","first-page":"273","article-title":"Gallstone obstruction of the intestine: an analysis of ten patients and a review of the literature","volume":"101","author":"M van Hillo","year":"1987","journal-title":"Surgery"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/SLA.0b013e31827eefed","article-title":"Surgery for gallstone ileus: a nationwide comparison of trends and outcomes","volume":"259","author":"W J Halabi","year":"2014","journal-title":"Ann Surg"},{"issue":"03","key":"ref5","first-page":"e2299","article-title":"Bouveret's syndrome: literature review","volume":"10","author":"F G Haddad","year":"2018","journal-title":"Cureus"},{"issue":"S 01","key":"ref6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/den.13019","article-title":"Current endoscopic strategies for managing large bile duct stones","volume":"30","author":"B Doshi","year":"2018","journal-title":"Dig Endosc"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"e55","DOI":"10.1016\/j.cgh.2018.02.006","article-title":"Bouveret's syndrome","volume":"17","author":"J P Le Mouel","year":"2019","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"14","key":"ref8","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1056\/NEJMicm1711592","article-title":"Bouveret's syndrome","volume":"378","author":"G P Ramos","year":"2018","journal-title":"N Engl J Med"},{"issue":"04","key":"ref9","first-page":"e4414","article-title":"Bouveret's syndrome","volume":"11","author":"J Philipose","year":"2019","journal-title":"Cureus"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s12328-020-01114-7","article-title":"Bouveret's syndrome and cholecystogastric fistula: a case-report and review of the literature","volume":"13","author":"K Osman","year":"2020","journal-title":"Clin J Gastroenterol"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4240\/wjgs.v9.i1.25","article-title":"Uncommon presentation of a common disease - 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