Gastric outlet obstruction by gallstone: Bouveret syndrome

Gallstone has rarely been described as a cause of gastrointestinal obstruct ion. However, the relative incidence of gallstone ileus increases significa ntly with age. The gastric outlet is very seldom the location of obstructio n by a gallstone. The diagnosis of this condition is not difficult. Neverth eless, if treatment is delayed, high morbidity and mortality rates result. Comprehensive treatment aims to relieve the obstruction, to close the bilio digestive fistula and to prevent further gallbladder complications. The sur geon who deals with this type of illness should tailor the treatment plan a ccording to the age, general condition, and intraoperative findings of the individual patient. This paper presents a case report of an 88-year-old wom an with gastric outlet obstruction caused by a gallstone.