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Laparoscopic surgery for gallstone ileus.
BMJ Case Rep
January 2025
Department of General Surgery, Ealing Hospital, London North West University Healthcare NHS Trust, London, UK.
We present a case of a woman in her 70s who arrived in the emergency department with signs of small-bowel obstruction. CT scanning revealed acute cholecystitis with a cholecystoduodenal fistula, pneumobilia and small-bowel obstruction possibly secondary to gallstone ileus although no radio-opaque gallstones were seen. The patient underwent an emergency operation and intra-operative findings revealed mechanical small-bowel obstruction of the proximal jejunum where a 4×2 x 3 cm gallstone was impacted.
View Article and Find Full Text PDFBouveret syndrome managed conservatively with the insertion of a double pigtail stent between the stomach and the gallbladder.
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 PDFBouveret's Syndrome: A Diagnostic and Therapeutic Approach to an Unusual Complication of Cholelithiasis.
Cureus
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 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 PDFNavigating Challenges: Managing Upper Gastrointestinal Bleeding From Cholecystoduodenal Fistula in an Elderly Patient.
Cureus
August 2024
First Department of Surgery, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Article Synopsis
- Cholecystoduodenal fistula (CDF) is a rare condition where the gallbladder and the part of the intestine called the duodenum are connected, often caused by gallstones.
- A 94-year-old woman had serious internal bleeding due to this condition, but doctors used a special method to treat her without major surgery.
- This case shows that doctors need to think about CDF when patients have unusual stomach issues, especially if they have had gallbladder problems before.
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