Bouveret Syndrome: A Rare Case of Gallstone Ileus Further Complicated by Stone Migration

Endoscopic Diagnosis of Bouveret Syndrome

Case Reports in Gastroenterology ◽

10.1159/000510162 ◽

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.

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Bouveret Syndrome or Gallstone Ileus

The American Journal of Medicine ◽

10.1016/j.amjmed.2017.10.044 ◽

2018 ◽

Vol 131 (4) ◽

pp. e175 ◽

Cited By ~ 1

Author(s):

Ervin Alibegovic ◽

Admir Kurtcehajic ◽

Ahmed Hujdurovic ◽

Svjetlana Mujagic ◽

Jasminka Alibegovic ◽

...

Keyword(s):

Gallstone Ileus ◽

Bouveret Syndrome

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Rare case of Bouveret syndrome

ANZ Journal of Surgery ◽

10.1111/ans.14215 ◽

2017 ◽

Vol 89 (5) ◽

pp. E198-E199

Author(s):

Angelina Marina Di Re ◽

Gratian Punch ◽

Arthur J. Richardson ◽

Henry Pleass

Keyword(s):

Rare Case ◽

Bouveret Syndrome

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Bouveret syndrome: a rare form of gallstone ileus

BMJ Case Reports ◽

10.1136/bcr-2020-238126 ◽

2021 ◽

Vol 14 (2) ◽

pp. e238126

Author(s):

Don Haering ◽

Mattie Murphy ◽

John Craig ◽

Gavin A Falk

Keyword(s):

Clinical Evidence ◽

Incidental Finding ◽

Gallstone Ileus ◽

Definitive Treatment ◽

Abdominal Radiograph ◽

Quadrant Pain ◽

Abdominal Ct Scan ◽

History Of ◽

Bouveret Syndrome ◽

High Index Of Suspicion

A 57-year-old woman presented with a 5-day history of worsening right upper quadrant pain, bilious emesis and approximately 20 pounds of weight loss. The patient was afebrile, without jaundice and had mild tenderness in her right upper quadrant. She noted an incidental finding of asymptomatic cholelithiasis on imaging 4 years earlier. An abdominal radiograph revealed pneumobilia and a large ectopic calculus. An abdominal CT scan confirmed pneumobilia, a large concretion completely obstructing the third portion of the duodenum and a soft tissue communication between the gallbladder and proximal duodenum. She was brought to the operating room for definitive treatment and had the obstructing gallstone removed via a transverse duodenotomy. Bouveret syndrome is a rare cause of small bowel obstruction that requires a high index of suspicion for diagnosis. It should be considered in older patients with clinical evidence of gastric or duodenal obstruction, particularly with a history of cholelithiasis.

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Bouveret syndrome: a rare case of gastric outlet obstruction in a young patient

ANZ Journal of Surgery ◽

10.1111/ans.17248 ◽

2021 ◽

Vol 91 (12) ◽

pp. 2854-2855

Author(s):

Shaun Wen Yang Chan ◽

Chun Hai Tan ◽

Kheng Tian Lim

Keyword(s):

Young Patient ◽

Gastric Outlet Obstruction ◽

Rare Case ◽

Outlet Obstruction ◽

Bouveret Syndrome

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A case report and review of the literature of Bouveret syndrome

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2019.0161 ◽

2020 ◽

Vol 102 (1) ◽

pp. e15-e19 ◽

Cited By ~ 4

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.

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Management of Bouveret Syndrome with Subsequent Gallstone Ileus

Videoscopy ◽

10.1089/vor.2020.0656 ◽

2020 ◽

Vol 30 (4) ◽

Author(s):

Mark E. Mahan ◽

Apurva K. Trivedi ◽

Brendan Hawara ◽

Ryan D. Horsley

Keyword(s):

Gallstone Ileus ◽

Bouveret Syndrome

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The natural progression of a fistulizing gallstone resulting in massive gastrointestinal hemorrhage and Bouveret syndrome, a rare case

Clinical Journal of Gastroenterology ◽

10.1007/s12328-019-01054-x ◽

2019 ◽

Vol 13 (3) ◽

pp. 393-396 ◽

Cited By ~ 2

Author(s):

Elmer Hoekstra ◽

Maarten Willem van den Berg ◽

Roeland Andreas Veenendaal ◽

Rogier Stuyt

Keyword(s):

Rare Case ◽

Gallstone Disease ◽

Western World ◽

Fatal Complication ◽

Natural Progression ◽

Massive Gastrointestinal Bleeding ◽

Life Threatening ◽

Massive Gastrointestinal Hemorrhage ◽

Bouveret Syndrome ◽

Asymptomatic Gallstones

Abstract Gallstones are seen very common, especially in the Western World. While most patients are asymptomatic, gallstones can cause life-threatening complications. Here, we present a rare and nearly fatal complication of gallstones, showing the natural progression of gallstone disease. With two very unusual complications of gallstones which occurred in the same patient. Massive gastrointestinal bleeding, and the Bouveret syndrome.

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