title: Gastric outlet syndrome caused by a gallstone: report of a case.
abstract: An extremely unusual case of gastric outlet syndrome, otherwise known as Bouveret's syndrome, caused by a large gallstone impacted in the duodenum due to a cholecystoduodenal fistula (CDF), is described herein. Another large gallstone impacted in the CDF itself was also detected. As endoscopic extraction of the gallstone from the duodenum proved unsuccessful, and a laparotomy was required. Our patient, being 88 years old, is probably the oldest patient recorded in the literature of this syndrome. The methods of establishing a correct diagnosis by endoscopy and recent therapeutic strategies are discussed following the case report.
authors.affiliation: Department of Surgery, Sapporo Memorial Hospital of Surgery, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Nyui
authors.forename: H
authors.initials: H
authors.lastname: Osanai
authors.forename: H
authors.initials: H
authors.lastname: Masuoka
authors.forename: S
authors.initials: S
authors.lastname: Ohba
authors.forename: T
authors.initials: T
authors.lastname: Ebata
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000150:complications / Q000175:diagnosis; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications / Q000175:diagnosis; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis