Bouveret’s Syndrome: A Rare Case Presentation

Abstract

Gall stone ileus is a rare complication of gall stones. A rarer entity is Bouveret's syndrome which causes gastric outlet obstruction due to migration of gall stones into duodenal bulb through cholecystoduodenal fistula. Bouveret's syndrome constitutes 1–3% of the cases of gall stone ileus which in turn complicates only 0.3–4% cases of cholelithisasis. Bouveret's syndrome is managed surgically. The present case is of a 66-year-old man who presented with gastric outlet obstruction and was diagnosed with Bouveret’s syndrome later. Bouveret's syndrome is an uncommon condition whose awareness is essential as it may pose a difficulty in diagnosis.

Keywords

• cholecystoduodenal fistula
• gall stone ileus
• gastric outlet obstruction