Abstract
Bouveret's syndrome is a rare cause of gallstone ileus that occurs more often in the elderly and has a female predominance. In this case report we describe a patient with classic risk factors and typical presentation who underwent one-stage surgical repair without complications. Bouveret's syndrome is a diagnosis that requires a high index of suspicion; diagnosis is often delayed. Advances in imaging have improved diagnostic accuracy, but surgical exploration is required in some cases. Although non-invasive methods of treatment have been utilized with some success, surgery remains the treatment of choice for most patients. However, there is still controversy regarding best surgical approach. Choice of treatment may depend on a patient's underlying co-morbidities and surgical risk factor, age, and likelihood of recurrent symptoms.
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