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Supplementary Material for: Unspecific Abdominal Symptoms and Pneumobilia: A Rare Case of Gastrointestinal Obstruction

posted on 14.06.2014, 00:00 by Keller M., Epp C., Meyenberger C., Sulz M.C.
The case of a 77-year-old woman with symptoms of gastric outlet obstruction is presented. Transabdominal ultrasonography findings were suspicious of Bouveret's syndrome. Upper endoscopy confirmed this diagnosis. Bouveret's syndrome is a rare complication of gallstone disease caused by a bilioenteric fistula leading to gastric outlet obstruction by a gallstone and should be suspected in any patient who presents with pneumobilia without recent endoscopic retrograde cholangiopancreatography or biliary surgery.