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The majority of patients with gallstones do well, but a small percentage of patients develop complications including rare complications as cholecystoduodenal fistulas. Such a complication could result in the presentation of the Bouveret’s syndrome. It is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Clinical symptoms are unspecific: vomiting (86%), abdomi

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