A 78-year-old woman admitted in the emergency department due to epigastric pain and vomiting in the last week. As personal history, she underwent gallstone ileus surgery without cholecystectomy. Plain radiograph (Fig. 1) shows a large gastric dilatation with pneumobilia and gallstone in the right hypochondrium. CT (Fig. 2) confirmed the duodenal ectopic gallstone location as mechanical obstruction.
Bouveret syndrome is a rare form of gallstone ileus. Although endoscopy is the thechnique of choice, the role of surgery is highlighted as an alternative in cases of large or impacted stones. Diagnosis: gastric outlet obstruction due to duodenal gallstone (Bouveret syndrome).
To the Surgery and Radiodiagnosic Services for their collaboration.
Please cite this article as: Diaz Antonio T, Garrido Ruiz GD, Mirón Fernández I, Peñuela Ruiz L. Obstrucción intestinal alta secundaria a cálculo impactado en duodeno (síndrome de Bouveret). Cir Esp. 2020;98:358.
