THE BOUVERETS-SYNDROME - A RARE COMPLICAT ION OF GALLSTONES

A 62 year old woman presented with the symptoms of a gastric outlet ob struction together with severe metabolic hypochloremic alcalosis. A ga llstone in the duodenum with gastric outlet obstruction was diagnosed by abdominal ultrasonography. In a one-stage surgical procedure, chole cystectomy, enterolithotomy and repair of the cholecytoduodenal fistul a were performed. The postoperative course was uneventful. Pathogenesi s, clinical findings, diagnostic procedures and therapeutic options of gastric outlet obstruction secondary to a gallstone impacted in the d uodenal bulb (Bouveret's Syndrome) are discussed.