Bouveret's syndrome: A rare presentation of gastric outlet obstruction

Exp Ther Med. 2019 Mar;17(3):1813-1816. doi: 10.3892/etm.2019.7150. Epub 2019 Jan 3.

Abstract

Bouveret's syndrome refers to gastric outlet obstruction caused by the formation of a cholecystoduodenal fistula with subsequent migration and impaction of a large gallstone into the duodenum. A case of a 59-year-old male who presented to our institution with consistent abdominal pain and nausea is reported herein. Bouveret's syndrome was diagnosed after conducting a computed tomography scan. Surgery was performed wherein gallstone removal was followed by cholecystectomy and fistula repair associated with a pyloric bypass via gastro-jejunostomy. The patient recovered well following surgery and has remained free of symptoms for the last year.

Keywords: Bouveret's syndrome; gallstone ileus; gastric outlet obstruction.