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Bouveret's syndrome complicated by acute pancreatitis
R F Fenchel1, J E Krige, P C Bornman
1Surgical Gastroenterology and Department of Surgery, University of Cape Town and Groote Schuur Hospital, South Africa.
Background/Aim:
This study evaluated a case of Bouveret's syndrome due to a cholecystoduodenal fistula and gallstone obstruction of the duodenum, complicated by acute pancreatitis and cholecystitis.
Methods:
The presenting features, special investigations, radiological findings, operative and endoscopic procedures were reviewed.
Results:
Symptoms persisted after laparotomy and removal of a gallstone in the duodenum. Intra-operative endoscopy identified a second previously undetected stone impacted in the distal duodenum.
Conclusion:
The importance of excluding more than one stone causing Bouveret's syndrome is emphasized.