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. 2007 Aug 30:1:73.
doi: 10.1186/1752-1947-1-73.

Bouveret's syndrome as an unusual cause of gastric outlet obstruction: a case report

Deepak Joshi  1 , Ali Vosough, Tom M Raymond, Chris Fox, Arun Dhiman
Affiliations

Bouveret's syndrome as an unusual cause of gastric outlet obstruction: a case report

Deepak Joshi et al. J Med Case Rep. .

Abstract

An 83 year old caucasian gentleman presented with vomiting and left sided abdominal pain. A subsequent upper GI endoscopy demonstrated a large smooth mass impacted within the duodenum. A cholecysto-duodenal fistula was discovered at laparotomy, with a large gallstone impacted in the duodenum. A diagnosis of Bouveret's syndrome was made. The management of this rare cause of gastric outlet obstruction is discussed.

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Figures

Figure 1
Figure 1
View at the pylorus, demonstrating a mass in the duodenal bulb.
Figure 2
Figure 2
A large smooth mass in the first part of the duodenum with associated ulceration.
Figure 3
Figure 3
Abdominal CT demonstrating a calcified mass in duodenum.
Figure 4
Figure 4
Removed gallstone.
See this image and copyright information in PMC

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