Gastric Outlet Obstruction Caused by a Large Gallstone in the Duodenum (Bouveret’s Syndrome)

2008 ◽  
Vol 6 (3) ◽  
pp. e11 ◽  
Author(s):  
Katsunari Kishi ◽  
Kazuki Yamada ◽  
Toshiro Sugiyama
2002 ◽  
Vol 15 (4) ◽  
pp. 215-217
Author(s):  
M. Bertullies ◽  
F. Kinzel ◽  
N. Städtler ◽  
H.-J. Schulz

2018 ◽  
Vol 90 (3) ◽  
pp. 154-158
Author(s):  
V. Kalliakmanis ◽  
K. Koutsouvas ◽  
I. Perysinakis ◽  
T Drakos-Galanis ◽  
E Margaris

2014 ◽  
Vol 99 (6) ◽  
pp. 819-823 ◽  
Author(s):  
Ghazi Raji Qasaimeh ◽  
Sohail Bakkar ◽  
Khaled Jadallah

Abstract Bouveret's syndrome is a rare cause of gastric outlet obstruction. Its diagnosis is often delayed or overlooked. It is characterized by the passage of a large gall bladder stone through a bilio-duodenal fistula, which becomes lodged in the duodenum causing duodenal obstruction. We report the case of a 70-year-old male with a history suggestive of gall bladder disease over a 1-year period. The diagnosis was confirmed by ultrasound, which showed a single large gall bladder stone and the patient was planned for elective laparoscopic cholecystectomy. One week prior to the elective surgery he presented with upper gastrointestinal bleeding for which he was admitted, diagnosed by a gastroenterologist as bleeding duodenal ulcer and treated by local epinephrine injection and blood transfusion. One week later he presented with a picture of acute gastric outlet obstruction, which proved by endoscopy to be due to a large stone impacted in the duodenum. Endoscopic management failed and the stone was managed by open surgery. The patient made a good postoperative recovery and for the last year he has remained free of symptoms.


1999 ◽  
Vol 31 (1) ◽  
pp. 48-49 ◽  
Author(s):  
P. Ondrejka ◽  
I. Balogh ◽  
A. Bodnár ◽  
C. E. Tóth ◽  
B. Forgács ◽  
...  

2020 ◽  

Bouveret’s syndrome is defined as gastrointestinal obstruction due to an impacted gallstone secondary to biliary-enteric fistula. This is often observed with nonspecific symptoms such as epigastric pain, nausea, and vomiting. The diagnosis is made by visualization of pneumobilia, gastric outlet obstruction and ectopic gallstone. In this report, we discussed an elderly patient who was admitted to the emergency department with abdominal pain and vomiting without any signs of bowel obstruction in plain x-ray and ultrasound imaging. We aimed to remind the importance of clinical suspicion and the diagnostic value of computed abdominal tomography for emergency physicians.


2020 ◽  
Vol 27 (06) ◽  
pp. 1316-1319
Author(s):  
Marrium Gul ◽  
Irfan Qadir ◽  
Muhammad Qasim Butt

Bouveret’s syndrome causes gastric outlet obstruction when a gallstone is impacted in the duodenum or stomach via a bilioenteric fistula. We present case of a 40-year-old female presented with epigastric pain and intractable vomiting for 2 days. Her physical examination and laboratory workup including blood analysis, amylase test and lipase test were normal. Plain abdominal X-ray did not show any signs of small bowel obstruction. A nasogastric tube was placed and drained 2.5 L of gastric contents immediately. Esophagogastroduodenoscopy showed a dilated stomach with excessive secretions and a large blackish-brown hard stone in the duodenal bulb. After failed attempt at endoscopic extraction, patient underwent laparotomy and removal of stone via duodenal incision. Subsequently, the patient exhibited a good postoperative recovery. The condition of the patient has remained stable after being followed up for one year.


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