Gallstone ileus represents a severe complication of cholelithiasis. Th
e incidence of serious disease concomitant with gallstone ileus is hig
h; it is most often seen in elderly patients and contributes to its hi
gh morbidity and mortality rates, Bouveret's syndrome is a rare form o
f gallstone ileus, characterized by its duodenal site after migration
through a cholecysto-duodenal fistula in almost all cases. We report o
n a patient with Bouveret's syndrome, The etiology, pathogenesis, diag
nosis and therapeutic approach with literature review are presented an
d discussed.