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Case Reports in Radiology
Volume 2012 (2012), Article ID 701216, 4 pages
http://dx.doi.org/10.1155/2012/701216
Case Report

Bouveret’s Syndrome: 64-Slice CT Diagnosis and Surgical Management—A Case Report

1Department of Radio Diagnosis, Indira Gandhi Medical College, Shimla 171001, India
2Department of Surgery, Indira Gandhi Medical College, Shimla 171001, India

Received 5 October 2012; Accepted 26 October 2012

Academic Editors: E. Kapsalaki, V. Low, and O. Strohm

Copyright © 2012 Dinesh Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred to as Bouveret’s syndrome. We present a case of gallstone-induced duodenal obstruction in an elderly female patient, diagnosed on a 64-slice MDCT scanner. One-stage surgery, that is, stone removal and cholecystectomy, was performed resulting in relief of obstruction and complete cure. Clinical features, multidetector computed tomography (MDCT) findings, and surgical management are discussed.