UPPER GASTROINTESTINAL HEMORRHAGE PRECEDING DEVELOPMENT OF BOUVERETS SYNDROME

Gastric outlet obstruction by a gallstone is a very uncommon clinical entity; it was first reported by Bouveret in 1896. In the patient pres ented, we were able to show the development of formation of the bilioe nteric fistula with massive arterial bleeding from the eroded cystic a rtery until duodenal occlusion. The process was endoscopically and rad iologically observed and documented. Although the diagnosis was made i mmediately, the patient had to undergo surgery because the gallstone p roved to be too large to be extracted endoscopically.