Bouveret syndrome is a rare form of gastric outlet obstruction. It is typically diagnosed in frail elderly patients with protracted biliary disease. Thus, it has disproportionally high rates of morbidity and mortality. A 90-year-old man presented to our tertiary hospital with acute abdominal pain and symptoms of bowel obstruction. He was diagnosed with Bouveret syndrome on abdominal computed tomography and required judicious resuscitation and an emergency laparotomy. This article highlights the key features of Bouveret syndrome, and reviews the current diagnostic modalities as well as the contemporary treatment paradigm.

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Pseudoaneurysm is a well-recognised form of vascular injury following blunt trauma. Its diagnosis is often delayed due to late manifestation of signs and symptoms. Nonetheless, complications of pseudoaneurysm can be severe and even fatal. A 60-year-old man presented to our tertiary trauma centre with blunt chest trauma. His treatment was initially focused on the left clavicular fracture. He was eventually diagnosed with a dorsal scapular artery pseudoaneurysm and a large chest wall haematoma on computed tomography on his third hospital admission in two weeks. This pseudoaneurysm was treated with endovascular embolisation. This article highlights the value of meticulous clinical examination as well as judicious use of biochemistry and imaging in trauma management.