Choleduodenal fistula with gastric outlet obstruction.

Journal Article (Journal Article)

Bouveret's syndrome, cholecystoduodenal fistula with gastric outlet obstruction secondary to an impacted gallstone, is a rare but serious complication of cholelithiasis. We report the case of a 69-year-old woman who presented with epigastric pain and vomiting in whom cross-sectional imaging revealed a duodenal mass with cholecystoduodenal fistula and pneumobilia. Endoscopic evaluation identified a large gallstone obstructing the pyloric channel. She underwent laparotomy and stone extraction with pyloroplasty, had an unremarkable recovery. She was asymptomatic at 15 months follow-up.

Full Text

Duke Authors

Cited Authors

  • Dong, M; Guerron, AD; Morris-Stiff, G; Chalikonda, S

Published Date

  • April 6, 2016

Published In

Volume / Issue

  • 2016 /

PubMed ID

  • 27053537

Pubmed Central ID

  • PMC4840648

Electronic International Standard Serial Number (EISSN)

  • 1757-790X

Digital Object Identifier (DOI)

  • 10.1136/bcr-2015-211248


  • eng

Conference Location

  • England