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 Exploring the Diagnosis and Management of Bouveret's Syndrome

2016 ◽  
Vol 54 (201) ◽  
pp. 33-35 ◽  
Author(s):  
Mukul Bhattarai ◽  
Pardeep Bansal ◽  
Bharat Patel ◽  
Alexander Lalos
Keyword(s):  
Clinical Practice ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Outlet Obstruction ◽  
Exploratory Laparotomy ◽  
Fistula Repair ◽  
Bouveret’S Syndrome ◽  
Abdominal Symptoms ◽  
History Of ◽  
Bouveret's Syndrome

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

Gallstone Ileus Presenting as Gastric Outlet Obstruction (Bouveret’s Syndrome): a Case Report

2006 ◽  
Vol 106 (4) ◽  
pp. 438-440 ◽  
Author(s):  
A. Sakarya ◽  
M.Y. Erhan ◽  
H. Aydede ◽  
E. Kara ◽  
M. Ozkol* ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Outlet Obstruction ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Bouveret’S Syndrome ◽  
Bouveret's Syndrome

scholarly journals Bouveret's Syndrome: Case Report and Review of the Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Iliana Doycheva ◽  
Alpna Limaye ◽  
Amitabh Suman ◽  
Christopher E. Forsmark ◽  
Shahnaz Sultan
Keyword(s):  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Success Rates ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Endoscopic Extraction ◽  
Extracorporeal Lithotripsy ◽  
Endoscopic Retrieval ◽  
Uncommon Condition ◽  
Bouveret's Syndrome

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.

scholarly journals A Unique Presentation of Bouveret’s Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yuqian Tian ◽  
Neha Sarvepalli ◽  
Mustafa Nazzal
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Individual Case ◽  
Common Bile Duct Exploration ◽  
Bouveret’S Syndrome ◽  
Surgical Risk ◽  
Closed Suction Drain ◽  
Bouveret's Syndrome

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.

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 Surgical Strategy in Bouveret's Syndrome. A Case Report

2016 ◽  
Vol 62 (2) ◽  
pp. 272-275
Author(s):  
Márton István Dénes ◽  
Árpád Török ◽  
Etele Éltes ◽  
Levente Kucserik ◽  
Zsolt András ◽  
...  
Keyword(s):  
Gallstone Ileus ◽  
Good Condition ◽  
High Morbidity ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Gastric Stasis ◽  
Presenting Symptoms ◽  
One Stage ◽  
Postoperative Intensive Care ◽  
Bouveret's Syndrome

AbstractBouveret's syndrome is a high mechanical obstruction due to impaction of a gallstone into the duodenum, through a cholecystoduodenal fistula. It belongs to a larger group of gallstone ileus, a disease which occurs after developing a fistula between the gallbladder and the gastrointestinal tract. This is a rare complication of gallstones but because it appears in elderly people, it has a high morbidity and mortality. Patients have various symptoms and the treatment is individualized. We present here a case of a 67 years old patient, admitted in emergency, presenting symptoms of high bowel obstruction, with onset 5 days before admission. Abdominal ultrasound reveals a 5 cm stone that seems to be in the gallbladder, gastric stasis and at gastroscopy appears a foreign body impacted in the duodenum. After a short preparation the patient underwent surgery. We found a dilated stomach and a large cholecystoduodenal fistula with an impacted gallstone in the duodenum. We performed one stage surgery: cholecystectomy, extraction of the stone and suturing of the fistula. We reestablished the continuity of the intestinal tract. We performed also an ileostomy for feeding the patient and protecting the anastomoses. The postoperative evolution was favorable.We consider that one stage surgical treatment in gallstone ileus is an option, if the patient is in good condition and we have an adequate postoperative intensive care management.

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 ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Management ◽  
Duodenal Obstruction ◽  
Outlet Obstruction ◽  
Ct Diagnosis ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Elderly Female ◽  
Bouveret's Syndrome ◽  
Mdct Scanner

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.

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