title: Gallstone ileus with multiple stones: Where Rigler triad meets Bouveret's syndrome.
abstract: A 53-year-old man with multiple medical conditions presented to the emergency department with complaints of vomiting, anorexia and diffuse colicky abdominal pain for 3 d. A computed tomography scan of the abdomen and pelvis showed radiographic findings consistent with Rigler triad seen in small proportion of patients with small bowel obstruction secondary to gallstone impaction. In addition there was a gastric outlet obstruction, consistent with Bouveret's syndrome. The patient underwent an exploratory laparotomy and enterotomy with multiple stones extracted. The patient had an uneventful post-surgical clinical course and was discharged home.
authors.affiliation: Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
authors.forename: Vinaya
authors.initials: V
authors.lastname: Gaduputi
authors.affiliation: Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
authors.forename: Hassan
authors.initials: H
authors.lastname: Tariq
authors.affiliation: Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
authors.forename: Amir A
authors.initials: AA
authors.lastname: Rahnemai-Azar
authors.affiliation: Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
authors.forename: Anil
authors.initials: A
authors.lastname: Dev
authors.affiliation: Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
authors.forename: Daniel T
authors.initials: DT
authors.lastname: Farkas
keywords: Bouveret’s syndrome; Gallstone ileus; Rigler triad; Small bowel obstruction