title: Successful Endoscopic Management of Bouveret's Syndrome in a Patient with Cholecystoduodenocolic Fistulae.
abstract: Bouveret's syndrome, first described in 1896 by Léon Bouveret, is rare, limited to approximately 200 published case reports to date [Ariche et al.: Scand J Gastroenterol 2000;35:781-783]. It is a subgroup of gallstone ileus in which a cholecystoduodenal fistula allows the passage of a gallstone that obstructs the duodenum, causing gastric outlet obstruction. This case is unique as it describes Bouveret's syndrome in a patient with combined cholecystoduodenocolic fistulae. Gastric outlet obstruction was successfully managed endoscopically with lithotripsy. Both fistulae were subsequently managed conservatively without any complications.
authors.affiliation: Colchester Hospital University, Colchester, UK.
authors.forename: S
authors.initials: S
authors.lastname: Tanwar
authors.forename: A
authors.initials: A
authors.lastname: Mawas
authors.forename: M
authors.initials: M
authors.lastname: Tutton
authors.forename: D
authors.initials: D
authors.lastname: O'Riordan