BOUVERETS-SYNDROME - CASE-REPORT AND REVIEW OF THE LITERATURE

Bouveret's syndrome, or gallstone duodenal pyloric obstruction., almos t always presents with abdominal pain or vomiting. It occurs more comm only in females (65%), with a median age of 68.6 years. The diagnosis is made by endoscopy (60%), upper gastrointestinal series (45%) or by direct abdominal xray (23%). The syndrome is mainly treated by surgery (93%), but recently, it has also been treated by endoscopy or extraco rporeal shock wave lithotripsy. The mortality rate has improved from 3 3%, as was the case before 1968, to 12% in recent years. Herein we rep ort the case of a 79-year-old female with Bouveret's syndrome.