INTRODUCTION

Gallstones presenting as cholecystoduodenal, cholecystocholedochal and cholecysto-gastric fistulae causing gastric outlet obstruction (Bouveret’s syndrome) or the classical gallstone ileus are well documented. Gallstones penetrating the gastric wall but not the gastric mucosa, and lying in an isolated subserosal, intramural portion of the stomach wall, have not been reported and therein lay the uniqueness of this
case.