Stones have been known to move: Bouveret's syndrome treated with cholecystolithotomy after previous episode of gallstone ileus

2021 ◽  
Author(s):  
Fraser Hugh Simpson ◽  
Andrew Beatty ◽  
Michael Auld ◽  
Andrew Phillip Maurice ◽  
Manju D. Chandrasegaram
2015 ◽  
Vol 19 (6) ◽  
pp. 1189-1191 ◽  
Author(s):  
Justin George ◽  
David D. Aufhauser ◽  
Steven E. Raper

2017 ◽  
pp. bcr-2017-220324 ◽  
Author(s):  
Neil Tindell ◽  
Kayla Holmes ◽  
David Marotta

2012 ◽  
Vol 149 (4) ◽  
pp. e284-e286 ◽  
Author(s):  
V. Costil ◽  
M.C. Jullès ◽  
M. Zins ◽  
J. Loriau

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yuqian Tian ◽  
Neha Sarvepalli ◽  
Mustafa Nazzal

Bouveret’s syndrome refers to a gastric outlet obstruction secondary to impaction of a gallstone in the pylorus or proximal duodenum. Thus, it can be considered a very proximal form of gallstone ileus and is infrequent. We describe such a unique case that a female patient presents with Bouveret’s syndrome and concomitant common bile duct obstruction by a second gallstone. The decision over its surgical management is complicated, based on risk factors, clinical presentations, radiographic evidence, surgical risk assessment, and specific considerations tailored to individual case. Because of her stable clinical picture and low surgical risk, we proceeded with stone extractions, fistula take-down, and common bile duct exploration in a one-stage procedure. Her postoperative course was complicated by bile stained drainage through closed suction drain that resolved with conservative management.


2020 ◽  
Vol 33 (5) ◽  
pp. 347
Author(s):  
Rita Peixoto ◽  
Joana Correia ◽  
Mário Guimarães Soares ◽  
António Gouveia

Bouveret’s syndrome is a rare cause of gastric outlet obstruction. We report a case of a 68-year-old woman admitted with upper digestive obstruction. A few months later, and after several diagnostic tests and clinical surveillance, a cholecystoduodenal fistula was suspected. During exploratory laparotomy, the diagnosis of Bouveret’s syndrome was confirmed and a pyelolithotomy, pyloroplasty and a cholecystectomy were performed. The patient was asymptomatic 7 months after the operation. This syndrome represents only 1% - 3% of all cases of gallstone ileus, being more frequent in women and in the elderly. The presentation is quite nonspecific, but in most cases the symptomatology suggests an upper digestive occlusion. Treatment can be achieved by lithotripsy, but most patients require a surgical approach.


Cureus ◽  
2018 ◽  
Author(s):  
Fady G. Haddad ◽  
Wissam Mansour ◽  
Joseph Mansour ◽  
Liliane Deeb

2016 ◽  
Vol 54 (201) ◽  
pp. 33-35 ◽  
Author(s):  
Mukul Bhattarai ◽  
Pardeep Bansal ◽  
Bharat Patel ◽  
Alexander Lalos

Bouveret’s syndrome is an unusual cause of gastric outlet obstruction secondary to gallstone impaction. It is so rare that it is commonly missed in clinical practice if it is not considered in differential diagnoses of intestinal obstruction more specifically in man who does not report the history of gall stone. Furthermore, there are no definitive guidelines on approach and management of this condition. We present a seventy eight year old man who developed acute abdominal symptoms due to impaction of a gallstone in the duodenum. He did not have history of gall stone. The diagnosis was supported via CT abdomen and Endoscopy. The patient was successfully managed by exploratory laparotomy followed by anterior pylorotomy to remove the stone without cholecystectomy and fistula repair. Keywords: Bouveret’s syndrome; cholelithiasis; enterolithotomy; Gallstone ileus. | PubMed


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

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