Unusual presentation of Bouveret's syndrome.
Isolated gastric outlet and ileal obstruction are rare complications of gallstones. We report what we believe to be the first case of a gallstone causing gastric outlet obstruction while eroding into the duodenum, yet once in the duodenum, passing into the small bowel, causing ileal obstruction. The endoscopic appearance of the eroding gallstone was so unusual that it was initially mistaken for a fibrotic duodenal ulcer.
Department of Upper Gastrointestinal Surgery, Hope Hospital Salford, Manchester, UK.
Charalambos P
CP
Charalambous
Mark
M
Midwinter
John
J
Bancewicz
D000368:Aged; D002769:Cholelithiasis / Q000150:complications*; D004386:Duodenum / Q000473:pathology; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male