scholarly journals A Rare Case of Gallstone Ileus: Bouveret Syndrome Presenting with Concurrent Gallstone Coleus

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Sena Park ◽  
Janaka Balasooriya ◽  
Thembi Ncube
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Clinical History ◽  
Distal Colon ◽  
Postoperative Recovery ◽  
Current Case ◽  
Her Family ◽  
Bouveret Syndrome

Background. Bouveret syndrome and gallstone coleus are two rare subsets of gallstone ileus. Bouveret syndrome involves a gastric outlet obstruction, whereas gallstone coleus involves an obstruction of the large intestine. Both of the conditions are caused by gallstones, which migrated from the gallbladder via the fistulae. Due to its rarity, only few cases were reported for each condition. The current case describes an even rarer case of Bouveret syndrome and gallstone coleus presenting together. The case report will hopefully provide better understanding of the disease presentation and hence, lead to early diagnosis and management. Case. Ms. B is an 86-year-old woman of Italian background who presented to our emergency department with worsening symptoms of bowel obstruction. Her past clinical history included Kaposi sarcoma, hypertension, osteoarthritis, and vitamin D deficiency with surgical history including caesarean section and tonsillectomy. On her imaging, she had two large gallstones, one in the proximal duodenum and one in the distal colon. It also showed gastric dilatation and gas in the gall bladder. She was subsequently diagnosed with Bouveret syndrome with concurrent gallstone coleus. The laparotomy revealed two points of gallstone obstruction at the first part of the duodenum and at the distal sigmoid colon. Her postoperative recovery was uncomplicated. She was discharged to the care of her family and followed up in the general surgery clinic. Conclusion. The current case report describes a unique presentation of Bouveret syndrome where an additional gallstone was found simultaneously in the sigmoid colon causing the obstruction. By introducing this novel case of having two different subsets of gallstone ileus simultaneously, there will be a better understanding of both conditions and hopefully improve our scope of practice.

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.

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 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 Gastric Outlet Obstruction by a Hydrocholecyst. A Very Rare Variant of Bouveret Syndrome: A Case Report

2021 ◽  
Vol 12 (09) ◽  
pp. 332-337
Author(s):  
Luis Daniel Betancourt Martínez ◽  
Alberto Manuel González Chávez ◽  
Mario Andrés González Chávez ◽  
Jiroyoshi Enrique Muneta Kishigami ◽  
Abraham Samra Saad
Keyword(s):  
Case Report ◽  
Rare Variant ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
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’s Syndrome: A Case Report and a Brief Literature Review

2020 ◽  
Vol 33 (5) ◽  
pp. 347
Author(s):  
Rita Peixoto ◽  
Joana Correia ◽  
Mário Guimarães Soares ◽  
António Gouveia
Keyword(s):  
Case Report ◽  
Diagnostic Tests ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Exploratory Laparotomy ◽  
The Elderly ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Clinical Surveillance ◽  
Bouveret's Syndrome

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.

scholarly journals Cholecysto-pyloric fistula with submucosal impaction of gall stone causing gastric outlet obstruction masquerading as a gastric mass, Bouveret Syndrome: case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Lokesh Meena ◽  
Bhavya Sharma ◽  
Ravi Shanker Singh ◽  
Udit Chauhan ◽  
Anvin Matthew
Keyword(s):  
Case Report ◽  
Gastric Outlet Obstruction ◽  
Rare Complication ◽  
Gall Stone ◽  
Outlet Obstruction ◽  
Abdominal Ultrasonography ◽  
Recurrent Vomiting ◽  
Bouveret Syndrome ◽  
Cect Scan ◽  
The Right

Abstract Background Cholecysto-enteric fistula is a rare complication of cholelithiasis and cholecystitis. Another even rarer complication is proximal impaction of gallstone(s) in gastric pylorus leading to gastric outlet obstruction, known as the Bouveret Syndrome. Only a few cases have been reported in the available literature. It can be confused with a malignant thickening at the pylorus, knowledge of this syndrome helps in arriving at the right diagnosis. Case report A 52-year-old female patient, who was admitted to our hospital for evaluation of recurrent vomiting and abdominal pain. She was investigated with various imaging modalities including upper gastrointestinal (GI) endoscopy, abdominal ultrasonography as well as Contrast Enhanced Computerized Tomography (CECT) scan of the abdomen. On the outside scan, it was given as a malignant thickening at the pylorus. However, current radiologists felt that imaging findings were not of a typical malignant mass, and suspicion of Bouveret syndrome was given. Intraoperative findings confirmed the diagnosis of Bouveret syndrome. The patient has not experienced any postoperative complications till now. Conclusion Bouveret syndrome is associated with significant morbidity and mortality. Being familiar with the imaging appearance of this condition, and differentiating it with malignant thickening can help radiologists avoid unnecessary invasive procedures in such patients. Being a benign etiology, it also helps in a better prognosis.

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.

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