title: Bouveret's Syndrome with Severe Esophagitis and a Purulent Fistula.
abstract: Bouveret's syndrome is a rare variant of gallstone ileus with an overall incidence of 1-3%. It is a rare cause of gastric outlet obstruction resulting from the passage and impaction of a large gallstone through a cholecysto-duodenal fistula. A combination of diagnostic modalities is often required for a diagnosis. Management options include endoscopy and surgery. The most commonly performed procedures are enterolithotomy or gastrostomy, either alone or with cholecystectomy and fistula repair. We describe a unique variant of chronic Bouveret's syndrome with the unusual associations of severe esophagitis and a purulent fistula.
authors.affiliation: Mercer University School of Medicine, Macon, GA.
authors.forename: Rami
authors.initials: R
authors.lastname: Bonam
authors.affiliation: Internal Medicine, Brody School of Medicine at East Carolina University, Greenville, NC.
authors.forename: Zahid
authors.initials: Z
authors.lastname: Vahora
authors.affiliation: Internal Medicine, Brody School of Medicine at East Carolina University, Greenville, NC.
authors.forename: Glenn
authors.initials: G
authors.lastname: Harvin
authors.affiliation: Internal Medicine, Brody School of Medicine at East Carolina University, Greenville, NC.
authors.forename: William
authors.initials: W
authors.lastname: Leland