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. 2017 Jan 30;49(Suppl 1):62–63. doi: 10.1055/s-0042-123499

Video 1: Bouveret syndrome constitutes less than 3 % of all gallstone-induced ileus due to the migration of a gallstone through a cholecystoduodenal fistula and its impaction in the pylorus or duodenum. Endoscopic management is the first therapeutic option. In this case, the gallstone was removed from the pylorus to the stomach using a polypectomy snare and broken into small pieces with a metal lithotriptor.Pancreatic acinar cell carcinoma represents less than 1 % of pancreatic tumors in adults. The diagnosis is based on morphology and immunohistochemical detection of acinar-specific markers. In this case, the panel was positive for alpha-1-antichymotrypsin, alpha-1-trypsin, and CKM (AE1/AE3/PCK26). Surgery is the treatment of choice for this tumor.

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