Bouveret syndrome is a gastric outlet obstruction, and biliary ileus is an obstruction of the small bowel, and both are caused by a gallstone that escaped the gallbladder through a bilio-enteric fistula. The concurrent occurrence of obstruction at both sites is encountered very rarely, and only two such cases associated with Bouveret syndrome were reported before. We now present a case involving a 78-year-old female with simultaneous obstruction at both the duodenum and jejunum. The literature is reviewed to evaluate the incidence of such a situation and to discuss the management of the case.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361827 | PMC |
http://dx.doi.org/10.1155/2023/9664165 | 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!