Intestinal obstruction secondary to gallstones is seen in the older populat
ion and the level of obstruction is usually at the level of the terminal il
eum. Obstruction at the level of the gastric outlet is called Bouveret's sy
ndrome. A case with perforated cholecystitis and duodenal obstruction due t
o a gallstone is presented. The CT findings are presented along with the cl
inical findings and literature review.