Cholecystogastric fistula in Bouveret syndrome: Case report and literature review

Carlos Eduardo Rey Chaves, Carlos Jose Villamil, Saralia Ruiz, Valentina Galvis, Danny Conde, Juan Carlos Sabogal Olarte

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2 Scopus citations


INTRODUCTION AND IMPORTANCE: Cholelithiasis is the benign bile pathology with major prevalence. A rare condition has been described, when a stone migrates through the duodenum causing small bowel obstruction (SBO), it's known as Bouveret syndrome, and it's attributed to almost 5% of SBO. Just 2% of the cases present with the migration of the stone through a fistula between gastric chamber and gallbladder, with limited reports in the literature.

CLINICAL FINDINGS: We present a case of an 87-year-old male with Bouveret syndrome and a cholecystogastric fistula with a stone in the gastric chamber who underwent laparoscopic gastrotomy to resolve the clinical case.

CONCLUSION: Bouveret syndrome remains to be a rare condition in benign bile pathology. Individualized treatment should be performed and multidisciplinary approach leads to improved outcomes for the patient.

Original languageEnglish
Article number106918
Pages (from-to)106918
JournalInternational Journal of Surgery Case Reports
StatePublished - Apr 2022


  • Bouveret syndrome
  • Endoscopy
  • Gallstone ileus
  • Obstruction
  • Surgery


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