[Duodenal biliary ileus].

A clinical observation is presented, of a patient that underwent emergency surgery for biliary ileus located in the duodenum. The particularity of the case consisted in the presence of a double bilio-digestive fistula: between the cholecyst and the stomach, and between the cholecyst and the duodenum. The rarity and the clinical characteristics of this syndrome described by Bouveret are stressed. The aspect and the extension of the lesions found during surgery have made necessary to apply an exceptional surgical solution which consisted in cholecystectomy and antrectomy with gastro-jejunal anastomosis, excluding the sutured duodenum from the digestive pathway.