Gallstone obstruction of the duodenal bulb (Bouveret's syndrome)

1964 ◽  
Vol 9 (12) ◽  
pp. 856-861 ◽  
Author(s):  
Nicholas A. Halasz
2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Iliana Doycheva ◽  
Alpna Limaye ◽  
Amitabh Suman ◽  
Christopher E. Forsmark ◽  
Shahnaz Sultan

Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable. We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.


2020 ◽  
Vol 27 (06) ◽  
pp. 1316-1319
Author(s):  
Marrium Gul ◽  
Irfan Qadir ◽  
Muhammad Qasim Butt

Bouveret’s syndrome causes gastric outlet obstruction when a gallstone is impacted in the duodenum or stomach via a bilioenteric fistula. We present case of a 40-year-old female presented with epigastric pain and intractable vomiting for 2 days. Her physical examination and laboratory workup including blood analysis, amylase test and lipase test were normal. Plain abdominal X-ray did not show any signs of small bowel obstruction. A nasogastric tube was placed and drained 2.5 L of gastric contents immediately. Esophagogastroduodenoscopy showed a dilated stomach with excessive secretions and a large blackish-brown hard stone in the duodenal bulb. After failed attempt at endoscopic extraction, patient underwent laparotomy and removal of stone via duodenal incision. Subsequently, the patient exhibited a good postoperative recovery. The condition of the patient has remained stable after being followed up for one year.


2003 ◽  
Vol -1 (1) ◽  
pp. 1-1
Author(s):  
P. Katsinelos ◽  
S. Dimiropoulos ◽  
P. Tsolkas ◽  
S. Baltagiannis ◽  
P. Kapelidis ◽  
...  

Author(s):  
Toshiaki ISHIKAWA ◽  
Keisuke KAWABATA ◽  
Takashi KIDA ◽  
Hiroaki TERASAKI ◽  
Hiroshi HABU

2006 ◽  
Vol 4 (4) ◽  
pp. 0-0
Author(s):  
Lina Praleikienė ◽  
Marius Paškonis ◽  
Jonas Jurgaitis ◽  
Eligijus Poškus ◽  
Kęstutis Strupas

Lina Praleikienė, Marius Paškonis, Jonas Jurgaitis, Eligijus Poškus, Kęstutis StrupasVilniaus universiteto ligoninės Santariškių klinikų Pilvo chirurgijos centras,Santariškių g. 2, LT-08661 VilniusEl paštas: [email protected] Bouveret sindromas – skrandžio turinio slinkimo sutrikimas, kurio priežastis – didelis akmuo, patekęs į dvylikapirštę žarną per biliogastrinę ar bilioduodeninę fistulę. Straipsnyje aprašomas Vilniaus universiteto ligoninės Santariškių klinikose gydytas ligonis, kuriam diagnozuotas Bouveret sindromas – tulžies pūslės akmenys pragulėjo dvylikapirštės žarnos serozinį dangalą, raumeninį sluoksnį ir gleivinę, tačiau į dvylikapirštės žarnos spindį dar nebuvo patekę. Bouveret sindromas įtartas sonoskopijos ir kompiuterinės tomografijos tyrimais, patvirtintas atliekant cholecistektomiją ir piloroplastiką. Pateikiama literatūros apžvalga: diagnostikos problemos, instrumentinių tyrimų nauda ir gydymo būdai. Reikšminiai žodžiai: Bouveret sindromas, tulžies pūslės akmenligė, žarnų nepraeinamumas Bouveret’s syndrome: clinical case and review of the literature Lina Praleikienė, Marius Paškonis, Jonas Jurgaitis, Eligijus Poškus, Kęstutis Strupas.Vilnius University Hospital Santariškių Klinikos, Centre of Abdominal Surgery,Santariškių 2, LT-08661 Vilnius, LithuaniaE-mail: [email protected] Bouveret’s syndrome is described as gastric outlet obstruction caused by a large gallstone passing into duodenal bulb through a biliogastric or bilioduodenal fistula. We describe a clinical case of the forming Bouveret syndrome – the gallstones had separated serous, muscular and mucose layers of the duodenum, but did not enter the lumen of it. Bouveret’s syndrome was diagnosed by ultrasound and computed tomography and treated by cholecystectomy and pyloroplasty. Various symptoms, diagnostic and treatment approaches are discussed. Key words: Bouveret’s syndrome, cholecystitis, gallstone ileus


2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
Jason N. Rogart ◽  
Melissa Perkal ◽  
Anil Nagar

Bouveret's syndrome is a rare condition of gastric outlet obstruction resulting from the migration of a gallstone through a choledochoduodenal fistula. Due to the large size of these stones and the difficult location in which they become impacted, endoscopic treatment is unsuccessful and most patients require surgery. We report the case of an elderly male who presented with nausea and hematemesis, and was found on CT scan and endoscopy to have an obstructing gallstone in his duodenal bulb. After several endoscopic sessions and the use of multiple instruments including a Holmium: YAG laser and electrohydraulic lithotripter, fragmentation and endoscopic removal of the stone were successful. We believe this to be the first case of Bouveret's syndrome successfully treated by endoscopy alone in the United States. We describe the difficulties encountered which necessitated varied and innovative therapeutic techniques.


2020 ◽  
Vol 58 (04) ◽  
pp. 352-356
Author(s):  
Tobias Kukiolka ◽  
Jan Borovicka ◽  
Stephan Baumeler ◽  
Marc Schiesser ◽  
Christoph Gubler

AbstractBouveret’s syndrome is a rare complication resulting from gallstone disease. Both surgical and endoscopical procedures are performed, with the disease to be seen as strictly interdisciplinary. There are no well-established recommendations for this condition. In this paper, we want to describe our experience from 6 cases in 3 Swiss hospitals from 2015 to 2017 with emphasis on the endoscopic technique of electrohydraulic lithotripsy followed by balloon dilatation and propose a treatment algorithm.


2015 ◽  
Vol 19 (6) ◽  
pp. 1189-1191 ◽  
Author(s):  
Justin George ◽  
David D. Aufhauser ◽  
Steven E. Raper

Endoscopy ◽  
2005 ◽  
Vol 37 (1) ◽  
pp. 82-87 ◽  
Author(s):  
A. S. Lowe ◽  
S. Stephenson ◽  
C. L. Kay ◽  
J. May

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