scholarly journals Bouveret’s Syndrome: 64-Slice CT Diagnosis and Surgical Management—A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Dinesh Sharma ◽  
Rajan Sood ◽  
Ashwani Tomar ◽  
Anupam Jhobta ◽  
Shruti Thakur ◽  
...  

Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred to as Bouveret’s syndrome. We present a case of gallstone-induced duodenal obstruction in an elderly female patient, diagnosed on a 64-slice MDCT scanner. One-stage surgery, that is, stone removal and cholecystectomy, was performed resulting in relief of obstruction and complete cure. Clinical features, multidetector computed tomography (MDCT) findings, and surgical management are discussed.

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 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.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Ariel Nicolas Tchercansky ◽  
Guido Luis Busnelli ◽  
Matías Mihura ◽  
Rafael José Maurette

Bouveret’s syndrome is a complication of cholelithiasis that presents with gastric outlet obstruction due to an impacted gallstone in the duodenum following cholecystoduodenal fistula. This is a rare presentation of biliary-enteric fistula; therefore, there are no standardized guidelines for the management of this disease. We present a case of a patient with Bouveret’s syndrome managed with laparoscopic surgery after an unsuccessful attempt of endoscopic removal.


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


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

2002 ◽  
Vol 15 (4) ◽  
pp. 215-217
Author(s):  
M. Bertullies ◽  
F. Kinzel ◽  
N. Städtler ◽  
H.-J. Schulz

2018 ◽  
Vol 90 (3) ◽  
pp. 154-158
Author(s):  
V. Kalliakmanis ◽  
K. Koutsouvas ◽  
I. Perysinakis ◽  
T Drakos-Galanis ◽  
E Margaris

Author(s):  
A. Ruiz de la Hermosa ◽  
P. Ortega-Domene ◽  
G. Zarzosa-Hernández ◽  
J.B. Seoane-González

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