Bouveret syndrome refers to gastric outlet obstruction caused by the migration of a gallstone through a cholecyst-enteric fistula
into the proximal duodenum. It is a very rare phenomenon and has been reported most commonly in elderly female. We present a case of
Bouveret syndrome in a middle aged man, who was managed surgically Ultrasonography showed features suggestive of stone in gall
bladder. Rest of the organs including the common bile duct was reported normal. Blood investigations were essentially normal. A
diagnosis of cholelithiasis with acute or chronic cholecystitis was made and the patient was treated with intravenous antibiotics and an open
cholecystectomy was planned after 6 weeks. At operation, a densely adherent mass was encountered with inseparable adhesions between
Gall bladder, omentum and duodenum. Biopsy was taken from gall bladder mass and cholecystectomy was abandoned. The patient made
uneventful recovery. Biopsy was suggestive of Xanthogranulomatous cholecystitis. It was then decided to allow the dense inflammation to
subside and elective surgery was deferred for 4-5 months.
Last date updated on July, 2014
