Bouveret syndrome

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[edit] Discussion of Bouveret syndrome

  • Bouveret syndrome is a gastric outlet obstruction produced by a gallstone impacted in the distal stomach or proximal duodenum.
  • Occurs most commonly in elderly women with a mean age of 69 years.
  • The presenting clinical situation is variable and nonspecific but often includes nausea, vomiting, and epigastric pain.
  • Early diagnosis is important because mortality is historically high at 33%, although it has decreased to 12% in recent years.


  • Endoscopy is preferred as a therapeutic option because removal may be performed with mechanical, electrohydraulic, or laser lithotripsy.
  • Surgery often is not desirable as the patients are often poor surgical candidates secondary to concomitant illnesses and advanced age.

[edit] Imaging Findings for Bouveret syndrome

  • Rigler triad: bowel obstruction, pneumobilia, and an ectopic gallstone.

[edit] Images

Patient #1

[edit] See Also

[edit] External Links

[edit] References for Bouveret syndrome

  • G. Brooks Brennan, Robert D. Rosenberg, and Sanjeev Arora. Bouveret Syndrome. RadioGraphics 2004 24: 1171-1175.