title: Bouveret syndrome:  gallstone ileus of the duodenum.
abstract: This is a case of a 59-year-old woman with Bouveret syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the gastrointestinal tract and causes obstruction, usually at the ileocecal valve. Bouveret syndrome is a variant of gallstone ileus where the gallstone lodges in the duodenum or pylorus causing a gastric outlet obstruction. The endoscopic and surgical management of this process are important to keep in mind and may be evolving as endoscopic therapies improve.
authors.affiliation: Department of Surgery, Brody School of Medicine, ECU, Greenville, NC, USA. englertz@ecu.edu
authors.forename: Zachary P
authors.initials: ZP
authors.lastname: Englert
authors.forename: Katie
authors.initials: K
authors.lastname: Love
authors.forename: Mark D
authors.initials: MD
authors.lastname: Marilley
authors.forename: Curtis E
authors.initials: CE
authors.lastname: Bower
mesh_terms: D002763:Cholecystectomy / Q000379:methods*; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D013577:Syndrome; D014057:Tomography, X-Ray Computed