Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: A new variant of “Bouveret’s syndrome”

Figure 1 Oesophagogastroduodenoscopy confirming the presence of a foreign body looking like a biliary stone (A) and a 15 mm-wide ulcer (B).

Figure 2 Computerised tomography revealing the density of foreign body typical of ectopic biliary stone (A) and the oedematous wall of the gastric antrum (B).

Figure 3 Magnetic resonance cholangiopancreatography showing no fistula.

Figure 4 One-stage surgery with dissection of omental-cholecystic adhesions.

Figure 5 A large ectopic stone extracted.