Cholecystobulbar Fistula Associated with Bouveret Syndrome and Ileal Obstruction

Abstract

Gallstone ileus is a very rare clinical entity, secondary to the fistulization between the gallbladder and gastrointestinal tract, and it is characterized by an impacted stone along the path. Obstruction at the level of the gastric outlet is defined as Bouveret’s syndrome and it’s an uncommon form of gallstone ileus. A 65-year-old male was admitted to the hospital due to symptoms of intestinal obstruction. Imagiological and endoscopic studies revealed two impacted gallstones, one in the gastric lumen and other in the distal ileum. He was submitted to surgery. Clinical findings and therapeutic approach represent a challenge in this pathology.