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Cholecystogastric fistula presenting as pyloric obstruction - a Bouveret's syndrome: A case report.
World J Gastrointest Endosc
January 2025
Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China.
Background: Bouveret's syndrome is a rare (1%-4%) form of cholelithiasis characterized by gastric outlet obstruction. It presents mainly in elderly women with nausea, vomiting, and abdominal pain. On physical examination, common findings include dehydration signs such as tachycardia, decreased urine output, abdominal discomfort, and distention.
View Article and Find Full Text PDFOperative management of cholecystogastric fistula as a rare complication of gallbladder empyema: A case report.
Int J Surg Case Rep
December 2024
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Introduction: Cholecysto-gastric fistula is a rare, life-threatening complication of cholelithiasis that presents significant challenge to surgeons. Early diagnosis can be obtained and surgical intervention can be planned as elective case. Dilemma comes when patient presenting with acute acute abdominal symptoms necessitating immediate surgery, decision-making becomes more complex increasing morbidity and mortality.
View Article and Find Full Text PDFCombined laser and mechanical lithotripsy for endoscopic management of Bouveret's syndrome: A case report.
Folia Med (Plovdiv)
June 2024
Medical University of Plovdiv, Plovdiv, Bulgaria.
Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.
View Article and Find Full Text PDFCholecystogastric fistula: A case report and review of the literature.
Int J Surg Case Rep
September 2024
General Surgery Resident, Department of Surgery, Dr. Suliman Alhabib Medical Group, Riyadh, Saudi Arabia.
Introduction: Cholecystogastric fistula is an abnormal communication between the gallbladder and the stomach, it is a rare complication of chronic cholethiasis. Preoperative diagnosis is difficult as patients often present with non-specific symptoms.
Case Presentation: A 63-year-old female presented to the outpatient clinic with symptomatic cholelithiasis.
Intestinal obstruction induced by gallstone migration through unusual location of a cholecystogastric fistula: A rare case report.
Int J Surg Case Rep
September 2024
Department of General Surgery, University of Aleppo, Aleppo University Hospital, Aleppo, Syrian Arab Republic.
Article Synopsis
- Gallstone ileus is a rare problem that happens when a gallstone creates an opening between the gallbladder and the intestines, causing a type of obstruction in the bowel.
- A 54-year-old man had serious stomach issues, like pain and vomiting, and after some treatment, he had a surgery that found a gallstone blocking his intestines.
- The case shows that gallstone problems can be tricky to diagnose and treat, especially in people with sudden stomach issues.
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