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Unusual presentation of Bouveret's syndrome
Charalambos P Charalambous1, Mark Midwinter, John Bancewicz
1Department of Upper Gastrointestinal Surgery, Hope Hospital Salford, Manchester, UK.
Journal of Gastroenterology
|July 11, 2002
Abstract:
Isolated gastric outlet and ileal obstruction are rare complications of gallstones. We report what we believe to be the first case of a gallstone causing gastric outlet obstruction while eroding into the duodenum, yet once in the duodenum, passing into the small bowel, causing ileal obstruction. The endoscopic appearance of the eroding gallstone was so unusual that it was initially mistaken for a fibrotic duodenal ulcer.