Bouveret syndrome: a tough nut to crack

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Bouveret syndrome: a tough nut to crack Ijlal Akbar Ali, MD, Sultan Mahmood, MD, William M. Tierney, MD VideoGIE Volume 4, Issue 3, Pages 126-127 (March 2019) DOI: 10.1016/j.vgie.2018.11.007 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 CT scan demonstrating choledochoduodenal fistula (yellow arrow) and the large 3-cm gallstone (red arrow). VideoGIE 2019 4, 126-127DOI: (10.1016/j.vgie.2018.11.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Successful endoscopic removal of gallstone. A, Gallstone impacted in duodenal bulb with fistula at 5’o clock position. B, Electrohydrolithotripsy probe used to fracture stone. C, Fistulous connection demonstrating (yellow arrow) after complete removal of stone. VideoGIE 2019 4, 126-127DOI: (10.1016/j.vgie.2018.11.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions