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The article presents case study of a 83-year-old woman which showcases invasive management of gallstone ileus with cholecystoduodenal fistula. It mentions that duodenal endoscopy was performed, finding a cholecystoduodenal fistula at the antipancreatic border of the first duodenum, immediately behind the pylorus. It states that endoscopic removal of gallstones through the fistula could be interesting in terms of enabling those patients to benefit from mini-invasive procedures.