Bouveret ’s syndrome: A rare form of gallstone ileus

A 67-year-old female presented with 3 weeks of epigastric pain, multiple episodes of emesis, and weight loss. Physical examination was notable for mild tenderness in the epigastrium. Laboratory evaluation revealed an elevated alkaline phosphatase and transaminitis. A contrast-based computed tomography of the abdomen displayed a dilated fluid-filled stomach and proximal duodenum containing a 4.8-cm calcified structure, thickening of the gallbladder wall with pericholecystic fluid, pneumobilia, and external biliary ductal dilatation secondary to mass effect (Fig 1, A).
Source: Surgery - Category: Surgery Authors: Source Type: research