Background/Aim: This study evaluated a case of Bouveret’s syndrome due to a cholecystoduodenal fistula and gallstone obstruction of the duodenum, complicated by acute pancreatitis and cholecystitis. Methods: The presenting features, special investigations, radiological findings, operative and endoscopic procedures were reviewed. Results: Symptoms persisted after laparotomy and removal of a gallstone in the duodenum. Intra-operative endoscopy identified a second previously undetected stone impacted in the distal duodenum. Conclusion: The importance of excluding more than one stone causing Bouveret’s syndrome is emphasized.