Management of Bouveret Syndrome with Subsequent Gallstone Ileus

Videoscopy ◽  
2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Mark E. Mahan ◽  
Apurva K. Trivedi ◽  
Brendan Hawara ◽  
Ryan D. Horsley
Keyword(s):  
Gallstone Ileus ◽  
Bouveret Syndrome

scholarly journals Endoscopic Diagnosis of Bouveret Syndrome

2020 ◽  
Vol 14 (3) ◽  
pp. 683-686
Author(s):  
Felix Hesse ◽  
Mohamed Abdelhafez ◽  
Christoph Schlag ◽  
Roland M. Schmid ◽  
Tobias Lahmer
Keyword(s):  
Computed Tomography ◽  
Female Patient ◽  
Gastric Outlet Obstruction ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Endoscopic Diagnosis ◽  
Endoscopic Imaging ◽  
Bouveret Syndrome

Bouveret syndrome is a form of gallstone ileus and a rare complication of chole(cysto)lithiasis. It describes gastric outlet obstruction secondary to an impacted gallstone. Here, we report a case of an 82-year-old female patient with gastric outlet obstruction and penetration of gallstones into the duodenal bulb on endoscopic imaging. Based on these findings Bouveret syndrome was diagnosed and confirmed by computed tomography.

scholarly journals Bouveret Syndrome or Gallstone Ileus

2018 ◽  
Vol 131 (4) ◽  
pp. e175 ◽  
Author(s):  
Ervin Alibegovic ◽  
Admir Kurtcehajic ◽  
Ahmed Hujdurovic ◽  
Svjetlana Mujagic ◽  
Jasminka Alibegovic ◽  
...  
Keyword(s):  
Gallstone Ileus ◽  
Bouveret Syndrome

Bouveret syndrome: a rare form of gallstone ileus

2021 ◽  
Vol 14 (2) ◽  
pp. e238126
Author(s):  
Don Haering ◽  
Mattie Murphy ◽  
John Craig ◽  
Gavin A Falk
Keyword(s):  
Clinical Evidence ◽  
Incidental Finding ◽  
Gallstone Ileus ◽  
Definitive Treatment ◽  
Abdominal Radiograph ◽  
Quadrant Pain ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Bouveret Syndrome ◽  
High Index Of Suspicion

A 57-year-old woman presented with a 5-day history of worsening right upper quadrant pain, bilious emesis and approximately 20 pounds of weight loss. The patient was afebrile, without jaundice and had mild tenderness in her right upper quadrant. She noted an incidental finding of asymptomatic cholelithiasis on imaging 4 years earlier. An abdominal radiograph revealed pneumobilia and a large ectopic calculus. An abdominal CT scan confirmed pneumobilia, a large concretion completely obstructing the third portion of the duodenum and a soft tissue communication between the gallbladder and proximal duodenum. She was brought to the operating room for definitive treatment and had the obstructing gallstone removed via a transverse duodenotomy. Bouveret syndrome is a rare cause of small bowel obstruction that requires a high index of suspicion for diagnosis. It should be considered in older patients with clinical evidence of gastric or duodenal obstruction, particularly with a history of cholelithiasis.

scholarly journals A case report and review of the literature of Bouveret syndrome

2020 ◽  
Vol 102 (1) ◽  
pp. e15-e19 ◽  
Author(s):  
G Singh ◽  
N Merali ◽  
S Shirol ◽  
P Drymousis ◽  
S Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rare Variant ◽  
Gastric Outlet Obstruction ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Review Of The Literature ◽  
First Case ◽  
Bouveret Syndrome

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. We report a case illustrating the rarity and severity of this condition, together with a review of the literature of the different methods of endoscopic and surgical treatment.

Bouveret Syndrome: Variant of Gallstone Ileus

2014 ◽  
Vol 92 (1) ◽  
pp. e3
Author(s):  
Pablo Calvo Espino ◽  
Arturo García Pavía ◽  
Mariano Artés Caselles ◽  
Víctor Sánchez Turrión
Keyword(s):  
Gallstone Ileus ◽  
Bouveret Syndrome

scholarly journals Bouveret syndrome - a rare variant of gallstone ileus

2021 ◽  
Author(s):  
Ana Alves ◽  
João Louro ◽  
Raquel Maia
Keyword(s):  
Gastrointestinal Tract ◽  
Rare Variant ◽  
Gastric Outlet Obstruction ◽  
Clinical Presentation ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Bouveret Syndrome

Bouveret syndrome is a rare cause of gastric outlet obstruction by passage of gallstone through a fistula between the gallbladder and proximal gastrointestinal tract, it is considered a proximal form of gallstone ileus. The clinical presentation is nonspecific, and imaging plays an important role in the diagnosis of this entity.

scholarly journals Bouveret Syndrome—The Rarest Variant of Gallstone Ileus: A Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vasileios K. Mavroeidis ◽  
Dimitrios I. Matthioudakis ◽  
Nikolaos K. Economou ◽  
Ioannis D. Karanikas
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Gallstone Ileus ◽  
Surgical Techniques ◽  
Outlet Obstruction ◽  
Cholecystoduodenal Fistula ◽  
Endoscopic Techniques ◽  
History Of ◽  
Bouveret Syndrome ◽  
The Right

We present a case report of a patient with Bouveret syndrome with interesting radiological findings and successful surgical treatment after failure of the endoscopic techniques. The report is followed by a review of the literature regarding the diagnostic means and proper treatment of this rare entity. Bouveret syndrome refers to the condition of gastric outlet obstruction caused by the impaction of a large gallstone into the duodenum after passage through a cholecystoduodenal fistula. Many endoscopic and surgical techniques have been described in the management of this syndrome. This is a case of a 78-year-old patient with severe medical history who presented in bad general condition with an 8-day history of nausea, multiple bilious vomiting episodes, anorexia, discomfort in the right hypochondrium and epigastrium, and fever up to 38,5°C. The diagnosis of Bouveret syndrome was set after performing the proper imaging studies. An initial endoscopic effort to resolve the obstruction was performed without success. Surgical treatment managed to extract the impacted gallstone through an enterotomy after removal into the first part of the jejunum.

scholarly journals Bouveret Syndrome: A Rare Form of Gallstone Ileus

Cureus ◽  
2021 ◽  
Author(s):  
Farhan A Shah ◽  
S. M Winkle ◽  
Tyler Truitt ◽  
Gilad Guez ◽  
Kevin Draper
Keyword(s):  
Gallstone Ileus ◽  
Rare Form ◽  
Bouveret Syndrome

scholarly journals Bouveret syndrome: an infrequent presentation of gallstone ileus

2012 ◽  
Vol 104 (6) ◽  
pp. 324-325
Author(s):  
Antonio Palomeque-Jiménez ◽  
Salvador Calzado-Baeza ◽  
Montserrat Reyes-Moreno
Keyword(s):  
Gallstone Ileus ◽  
Bouveret Syndrome

Bouveret syndrome: a clinicoradiological perspective

2020 ◽  
Vol 13 (12) ◽  
pp. e238620
Author(s):  
Elliot W Checkley ◽  
Vartan Balian ◽  
Abdul Aziz ◽  
Fred Lee
Keyword(s):  
Acute Cholecystitis ◽  
Medical History ◽  
Rare Variant ◽  
Epigastric Pain ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Successful Outcome ◽  
Radiological Imaging ◽  
History Of ◽  
Bouveret Syndrome

An 87-year-old woman presented to us with a 5-day history of worsening epigastric pain and vomiting. Her medical history included known gallstones and a previous episode of acute cholecystitis complicated by a perforated gallbladder for which she had declined surgery 5 years prior. Radiological imaging confirmed a large gallstone impacted in the first part of the duodenum with gross gastric outlet obstruction and pneumobilia, confirming the diagnosis of Bouveret syndrome, an often overlooked and rare variant of gallstone ileus. Following an unsuccessful oesophagogastroduodenoscopy for stone retrieval, she underwent a laparotomy and gastrotomy with a successful outcome and discharged from hospital 4 weeks following the procedure.

Sign in / Sign up

Export Citation Format

Share Document