title: Migrating gallstone: from Bouveret's syndrome to distal small bowel obstruction.
abstract: Gallstone ileus is an uncommon cause of small bowel obstruction. When the gallstone lodges inside the duodenum and causes gastric outlet obstruction, it is termed Bouveret's syndrome. However, it is rather unusual to seen the evolution of a migrating gallstone (from duodenum to distal small bowel) in a patient during the same hospital admission. We report a case of gallstone ileus from the initial presentation of gastric outlet obstruction to the development of distal small bowel obstruction within the same hospital admission, and its total laparoscopic treatment.
authors.affiliation: Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, China. yaukk1@ha.org.hk
authors.forename: Kwok-Kay
authors.initials: KK
authors.lastname: Yau
authors.forename: Wing-Tai
authors.initials: WT
authors.lastname: Siu
authors.forename: Ka-Kin
authors.initials: KK
authors.lastname: Tsui
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D042882:Gallstones / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small; D008297:Male; D013577:Syndrome