VOMITING AND EPIGASTRALGIA: IS IT BOUVERET SYNDROME? ABOUT A CASE

Bouverets syndrome is defined by a pyloroduodenal obstruction due to a blockage of a gallstone that has migrated through a cholecystoduodenal fistula. It is a rare entity from which the case of a 50-year-old patient presenting with vomiting with epigastralgia is reported, in whom abdominal ultrasound objectified an aerobic cholecystitis with cholecysto-duodenal fistula CT confirmed the ultrasound data and showed an enclosed gallstone at the duodenal level as well as oesogastroduodenalfibroscopy. The laparotomy objectified: a gallbladder attached to the genus superius with a stone measuring 4 cm which migrated at the level of the Treitz angle, the gesture consisted in the extraction of the stone and retrograde cholecystectomy as well as the resection of the fistulous path.