A rare presentation of @entity1084 ( XXXX ) - The @entity244 .

@entity1 @entity5990 @entity1084 @entity158 @entity244 @entity4570
INTRODUCTION: Bouveret's Syndrome is a rare cause of @entity1084 ( @entity1084 ) caused by a @entity5990 which has migrated into the duodenal bulb from a bilioduodenal fistula. It is an uncommon condition and only a few cases have been reported in the medical literature till to date. PRESENTATION OF CASE: We report a case of a 45 year old @entity1 who presented to us with recurrent @entity158 in the upper abdomen for the last 8 years, and that progressed to develop symptoms of @entity1084 . An upper gastrointestinal endoscopy revealed duodenal ulceration with a stony hard lesion in the first part of duodenum. An contrast enhanced computed tomography (CECT) scan of the abdomen performed later confirmed the presence of @entity4570 and a @entity5990 in proximal jejunum. DISCUSSION: @entity244 is a case of @entity1084 caused by the impaction of a @entity5990 in the duodenum as a result of a @entity4570 . It constitutes 1-3% of cases of @entity5990 ileus which in turn complicates only 0.3-4% cases of cholelithisasis. @entity244 is managed surgically. CONCLUSION: @entity244 being an uncommon condition may pose a difficulty in diagnosis and dilemma in managing such @entity1 . An awareness is hence essential.
