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  • Title: Gastric outlet syndrome caused by a gallstone: report of a case.
    Author: Nyui S, Osanai H, Masuoka H, Ohba S, Ebata T, Yoshida Y.
    Journal: Surg Today; 1998; 28(4):412-5. PubMed ID: 9590708.
    Abstract:
    An extremely unusual case of gastric outlet syndrome, otherwise known as Bouveret's syndrome, caused by a large gallstone impacted in the duodenum due to a cholecystoduodenal fistula (CDF), is described herein. Another large gallstone impacted in the CDF itself was also detected. As endoscopic extraction of the gallstone from the duodenum proved unsuccessful, and a laparotomy was required. Our patient, being 88 years old, is probably the oldest patient recorded in the literature of this syndrome. The methods of establishing a correct diagnosis by endoscopy and recent therapeutic strategies are discussed following the case report.
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