Bouveret's syndrome with a concomitant incidental T1 gallbladder cancer

Masahiro Shinoda, Koichi Aiura, Yoshiyuki Yamagishi, Yohei Masugi, Kiminori Takano, Shotaro Maruyama, Tomoyuki Irino, Kaoru Takabayashi, Yoshinori Hoshino, Shin Nishiya, Taizo Hibi, Shigeyuki Kawachi, Minoru Tanabe, Masakazu Ueda, Michiie Sakamoto, Toshifumi Hibi, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Bouveret's syndrome, which is a gastric outlet obstruction caused by a gallstone in the duodenum, is a rare complication of gallstone disease. We report a case of Bouveret's syndrome in an 81-year-old woman who also exhibited incidental gallbladder cancer. She was admitted to our hospital complaining of upper abdominal pain and vomiting. A computed tomography examination showed a cholecystoduodenal fistula, a large impacted stone at the gastric outlet, and a dilated stomach. She was diagnosed as having Bouveret's syndrome. The patient underwent an upper gastrointestinal endoscopy and a mechanical lithotripsy was successfully performed for the stone. She then underwent a cholecystectomy with primary closure of the duodenal fistula. An intra-operative histopathology examination revealed severe cholecystitis with an adenocarcinoma in part of the gallbladder. Gallbladder bed resection and regional lymph node dissection were also performed. To the best of our knowledge, this is the first published report of a case in which Bouveret's syndrome and gallbladder cancer co-existed.

Original languageEnglish
Pages (from-to)248-253
Number of pages6
JournalClinical journal of gastroenterology
Issue number5
Publication statusPublished - 2010 Oct


  • Bouveret's syndrome
  • Cholecystoduodenal fistula
  • Gallbladder cancer
  • Gallstone
  • Gastric outlet obstruction

ASJC Scopus subject areas

  • Gastroenterology


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