PubMed · 2009 · 22 citations · 4 references
MedicineClinical SciencesSurgeryGastroenterologyGeneral SurgeryHepatologyBiliary Tract DiseaseBowel ObstructionGastrointestinal DiseaseGastrointestinal ObstructionGastrointestinal SurgeryIntestinal ObstructionBile Duct ObstructionBile Duct StonesGallstone Disease SurgeryGallstone IleusGastric Outflow ObstructionGastric Outlet Obstruction SurgeryLarge Bowel ObstructionLarge Intestinal Obstruction
Gallstone ileus is an uncommon cause of small-bowel obstruction, accounting for about 1%–4% of cases.1,2 Although the most common location for intestinal obstruction by a biliary calculus is the terminal ileum, obstruction infrequently occurs more proximally. In rare cases, gallstones migrate into the duodenum through a cholecystoduodenal fistula and become impacted, producing gastric outlet obstruction. This syndrome was originally described in 1896 by Bouveret.3 Our report describes 2 cases of Bouveret syndrome, their surgical management and clinical outcomes.
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