Bouveret's syndrome complicated by acute pancreatitis

Background/Aim: This study evaluated a case of Bouveret's syndrome due to a cholecystoduodenal fistula and gallstone obstruction of the duodenum, comp licated by acute pancreatitis and cholecystitis. Methods:The presenting fea tures, special investigations, radiological findings, operative and endosco pic procedures were reviewed. Results: Symptoms persisted after laparotomy and removal of a gallstone in the duodenum, Intra-operative endoscopy ident ified a second previously undetected stone impacted in the distal duodenum. Conclusion: The importance of excluding more than one stone causing Bouver et's syndrome is emphasized. Copyright (C) 1999 S. Karger AG, Basel.