Bouveret syndrome is the rarest variant of gallstone ileus, with a high morbidity and mortality rate as well as life-threatening complications. We present a case of an 86-year-old woman who presented with abdominal pain and was diagnosed with acute cholecystitis. After laparoscopic cholecystectomy, her symptoms did not improve. She then underwent endoscopic retrograde cholangiopancreatography and was found to have a stone causing duodenal bulb obstruction. The stone was removed using a snare, and her symptoms improved greatly. This rare case of Bouveret syndrome with no apparent fistula was successfully treated using endoscopic measures.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549994 | PMC |
http://dx.doi.org/10.1080/08998280.2020.1792757 | DOI Listing |
Quant Imaging Med Surg
December 2024
Department of Radiology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
BMJ Case Rep
December 2024
General Surgery, UHB, Birmingham, UK.
A woman in her early 90s presented to the acute surgical take with a 3-day history of worsening reflux, vomiting, epigastric pain and constipation. Subsequent imaging demonstrated two large, impacted gallstones in the pylorus and proximal jejunum secondary to a cholecystoduodenal fistula. A diagnosis of Bouveret syndrome was made, and endoscopic attempts to break down and remove the stones were unsuccessful.
View Article and Find Full Text PDFCureus
October 2024
Department of Cardiology, Hospital Regional "Dr. Valentín Gómez Farías" ISSSTE, Zapopan, MEX.
Bouveret's syndrome is a rare form of bowel obstruction caused by the impaction of a large gallstone through a cholecystoduodenal fistula, leading to gastric outlet obstruction. This article aims to highlight the clinical presentation and management of this syndrome, given its low incidence and high mortality rate of 12% to 30%. We present the case of an 83-year-old patient with a history of diabetes and hypertension who presented with abdominal pain, distension, and vomiting.
View Article and Find Full Text PDFACG Case Rep J
October 2024
Department of Medicine, University of Minnesota, Division of Gastroenterology, Hepatology, and Nutrition, Minneapolis, MN.
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 PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!