[Case of a biliodigestive fistula--a variant of Bouveret's syndrome].

The female patient N. I. G., aged 65, case report No 21336/416 was admitted to the Clinic of Gastroeneterology on October 12, 1982, with the following diagnosis: Cholelithiasis, Cholecystitis chronica calculosa, Fistula biliodigestiva. The anamnestic data, the objective examination as the data from operation protocol revealed that the case reported was a peculiar, very rare, favourable evolution of Bouveret syndrome. The biliary concrements (the biggest 10 X 15 mm), that had passed through the fistula opening into the permanently deformed and constricted duodenal bulb have twice caused short-term disturbed intestinal passage. The patient, with the vomited juices, had thrown out the concrements that caused the obturation, resulting into restoration of the intestinal passage and clinical improvement. The surgical operation was performed 57 days after the acute incident for removing of gallbladder and elimination of the fistula passage.