Abdul Rehman, Zubair Hasan, Aisha Saeed, Kashif Jamil, Qasim Azeem, Amjad Zaidi, Kamran Abdullah, Tanzeel Rustam.
J Coll Physicians Surg Pak Jan ;18(7):435-7.
Gastric Outlet Obstruction (GOO) due to impaction of a gallstone in the duodenum after migration through a bilioduodenal fistula is known as Bouveret`s syndrome. Its clinical symptoms are entirely vague and nonspecific. Because of its rarity, insidiousness and unpredictable symptomatology, Bouveret`s syndrome is never thought of in the differential diagnosis as aetiology of gastric outlet obstruction. Recent advances in fiberoptics technology, advent of modern imaging modalities and minimally-invasive techniques like endoscopy and laparoscopy has brought a great revolution in the management of Bouveret`s syndrome and have tremendously decreased morbidity and mortality associated with this rare clinical entity.
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