Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review

Figure 1 MEDLINE and PubMed searches were performed for the terms Bouveret’s syndrome. A: Sixty-four percent of the identified cases in the literature were female; B: Bouveret’s syndrome is more common in elderly patients, with the majority of cases occurring above 71 years of age; C: While some cases were successfully treated endoscopically, the majority of cases require open surgical management; D and E: Articles not in English were translated to English using dependable medical dictionaries; F: Results of the literatures; G: In patients receiving surgical stone retrieval, the majority did not receive a concurrent or delayed cholecystectomy.

Figure 2 Common bile duct was 10 mm with mild intrahepatic biliary tree dilatation.

Figure 3 Coronal section of computed tomography scan.

Figure 4 Cross section of computed tomography scan showing gallstone in the stomach and pneumobilia. The gallbladder is contracted and gas-filled.

Figure 5 Upper gastrointestinal endoscopy confirmed the presence of gallstone in the stomach (A) and fistula orifice (B).

Figure 6 The stone was successfully retrieved by snare.