Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bouveret's syndrome as an unusual cause of gastric outlet obstruction: a case report | Journal of Medical Case Reports BioMed Central Case report Bouveret s syndrome as an unusual cause of gastric outlet obstruction a case report Deepak Joshi 1 Ali Vosough1 Tom M Raymond2 Chris Fox1 and Arun Dhiman1 Open Access Address Department of Gastroenterology William Harvey Hospital Ashford Kent UK and 2Department of Surgery William Harvey Hospital Ashford Kent UK Email Deepak Joshi - djosh78@ Ali Vosough - alireza_vosough@ Tom M Raymond - Chris Fox - Arun Dhiman - Corresponding author Published 30 August 2007 Received 16 January 2007 Journal of Medical Case Reports 2007 1 73 doi 1752-1947-1-73 Accepted 30 August 2007 This article is available from http content l l 73 2007 Joshi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract An 83 year old caucasian gentleman presented with vomiting and left sided abdominal pain. A subsequent upper GI endoscopy demonstrated a large smooth mass impacted within the duodenum. A cholecysto-duodenal fistula was discovered at laparotomy with a large gallstone impacted in the duodenum. A diagnosis of Bouveret s syndrome was made. The management of this rare cause of gastric outlet obstruction is discussed. Background Gallstones in the majority of patients remain asymptomatic. The commonest clinical manifestation is biliary colic. Gallstone ileus occurs when a stone enters the intestinal tract via a cholecysto-enteric fistula. The authors present a case of Bouveret s syndrome a rare complication of gallstone disease and rare cause of gastric outlet obstruction. Case presentation An 83 year old gentleman was admitted with a one week history of .