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The curious case of biliary emesis and bowel obstruction from Bouveret syndrome
  1. Bing Lun Chow1,2,
  2. Khawaja Zia1,
  3. Stuart Scott1 and
  4. Mariasoosai Pathmarajah1
  1. 1 Department of General Surgery, Belford Hospital, Fort William, Highland, UK
  2. 2 Anaesthetics and Critical Care, Borders General Hospital, Melrose, Scottish Borders, UK
  1. Correspondence to Dr Bing Lun Chow, chowbinglun2239{at}


Bouveret syndrome is a rare complication of biliary lithiasis. This sequela is caused by the passage of the gallstone via a bilioenteric fistula, resulting in an impacted gallstone in the duodenum or stomach. The common presentation of non-specific symptoms contributes to the diagnostic uncertainty and delay, which is strongly associated with adverse outcomes. We report an uncomplicated stone extraction via open gastrotomy in an elderly man afflicted with bowel obstruction and biliary vomit secondary to Bouveret syndrome.

  • endoscopy
  • pancreas and biliary tract
  • stomach and duodenum
  • gastrointestinal surgery

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  • Contributors KZ was involved in the clinical care of this patient. All authors prepared and reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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