scholarly journals A CASE OF GALLSTONE ILEUS IMPACTED IN THE DUODENAL BULB (BOUVERET'S SYNDROME)

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


2015 ◽  
Vol 19 (6) ◽  
pp. 1189-1191 ◽  
Author(s):  
Justin George ◽  
David D. Aufhauser ◽  
Steven E. Raper

2021 ◽  
Author(s):  
Fraser Hugh Simpson ◽  
Andrew Beatty ◽  
Michael Auld ◽  
Andrew Phillip Maurice ◽  
Manju D. Chandrasegaram

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

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.


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

2020 ◽  
Vol 27 (06) ◽  
pp. 1316-1319
Author(s):  
Marrium Gul ◽  
Irfan Qadir ◽  
Muhammad Qasim Butt

Bouveret’s syndrome causes gastric outlet obstruction when a gallstone is impacted in the duodenum or stomach via a bilioenteric fistula. We present case of a 40-year-old female presented with epigastric pain and intractable vomiting for 2 days. Her physical examination and laboratory workup including blood analysis, amylase test and lipase test were normal. Plain abdominal X-ray did not show any signs of small bowel obstruction. A nasogastric tube was placed and drained 2.5 L of gastric contents immediately. Esophagogastroduodenoscopy showed a dilated stomach with excessive secretions and a large blackish-brown hard stone in the duodenal bulb. After failed attempt at endoscopic extraction, patient underwent laparotomy and removal of stone via duodenal incision. Subsequently, the patient exhibited a good postoperative recovery. The condition of the patient has remained stable after being followed up for one year.


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.


2003 ◽  
Vol -1 (1) ◽  
pp. 1-1
Author(s):  
P. Katsinelos ◽  
S. Dimiropoulos ◽  
P. Tsolkas ◽  
S. Baltagiannis ◽  
P. Kapelidis ◽  
...  

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