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Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome

  • Savas Sezik1
  • Mustafa Sever1
  • Nezih Kavak2
  • Ahmet Burak Erdem3

1Department of Emergency Medicine, Tepecik Educational and Research Hospital, Izmir, Turkey

2Department of Emergency Medicine, Yildirim Beyazit Diskapi Educational and Research Hospital, Ankara, Turkey

3Department of Emergency Medicine, Ankara Numune Educational and Research Hospital, Ankara, Turkey

DOI: 10.22514/sv.2020.16.0036 Vol.17,Issue 1,January 2021 pp.209-212

Published: 08 January 2021

*Corresponding Author(s): Mustafa Sever E-mail:


Bouveret’s syndrome is defined as gastrointestinal obstruction due to an impacted gallstone secondary to biliary-enteric fistula. This is often observed with nonspecific symptoms such as epigastric pain, nausea, and vomiting. The diagnosis is made by visualization of pneumobilia, gastric outlet obstruction and ectopic gallstone. In this report, we discussed an elderly patient who was admitted to the emergency department with abdominal pain and vomiting without any signs of bowel obstruction in plain x-ray and ultrasound imaging. We aimed to remind the importance of clinical suspicion and the diagnostic value of computed abdominal tomography for emergency physicians.


Abdominal pain, Bouveret’s syndrome, Computed tomography, Elderly, Emergency department

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Savas Sezik,Mustafa Sever,Nezih Kavak,Ahmet Burak Erdem. Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome. SignaVitae. 2021. 17(1);209-212.


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