scholarly journals Successful Multimodality Endoscopic Treatment of Gastric Outlet Obstruction Caused by an Impacted Gallstone (Bouveret's Syndrome)

2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
Jason N. Rogart ◽  
Melissa Perkal ◽  
Anil Nagar
Keyword(s):  
Gastric Outlet Obstruction ◽  
Endoscopic Treatment ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Rare Condition ◽  
The United States ◽  
Bouveret’S Syndrome ◽  
Elderly Male ◽  
First Case ◽  
Bouveret's Syndrome

Bouveret's syndrome is a rare condition of gastric outlet obstruction resulting from the migration of a gallstone through a choledochoduodenal fistula. Due to the large size of these stones and the difficult location in which they become impacted, endoscopic treatment is unsuccessful and most patients require surgery. We report the case of an elderly male who presented with nausea and hematemesis, and was found on CT scan and endoscopy to have an obstructing gallstone in his duodenal bulb. After several endoscopic sessions and the use of multiple instruments including a Holmium: YAG laser and electrohydraulic lithotripter, fragmentation and endoscopic removal of the stone were successful. We believe this to be the first case of Bouveret's syndrome successfully treated by endoscopy alone in the United States. We describe the difficulties encountered which necessitated varied and innovative therapeutic techniques.

scholarly journals Bouveret’s syndrome: A challenging case of gastric outlet obstruction.

2020 ◽  
Vol 27 (06) ◽  
pp. 1316-1319
Author(s):  
Marrium Gul ◽  
Irfan Qadir ◽  
Muhammad Qasim Butt
Keyword(s):  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Postoperative Recovery ◽  
Blood Analysis ◽  
Bouveret’S Syndrome ◽  
Endoscopic Extraction ◽  
Bilioenteric Fistula ◽  
Bouveret's Syndrome

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.

Bouveret's Syndrome - Rare Cause of Gastric Outlet Obstruction

2002 ◽  
Vol 15 (4) ◽  
pp. 215-217
Author(s):  
M. Bertullies ◽  
F. Kinzel ◽  
N. Städtler ◽  
H.-J. Schulz
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bouveret’S Syndrome ◽  
Bouveret's Syndrome

Gastric Outlet Obstruction by a Large Gallstone (Bouveret’s Syndrome)

2018 ◽  
Vol 90 (3) ◽  
pp. 154-158
Author(s):  
V. Kalliakmanis ◽  
K. Koutsouvas ◽  
I. Perysinakis ◽  
T Drakos-Galanis ◽  
E Margaris
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bouveret’S Syndrome ◽  
Bouveret's Syndrome

scholarly journals Bouveret's Syndrome: Case Report and Review of the Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Iliana Doycheva ◽  
Alpna Limaye ◽  
Amitabh Suman ◽  
Christopher E. Forsmark ◽  
Shahnaz Sultan
Keyword(s):  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Success Rates ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Endoscopic Extraction ◽  
Extracorporeal Lithotripsy ◽  
Endoscopic Retrieval ◽  
Uncommon Condition ◽  
Bouveret's Syndrome

Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable. We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.

scholarly journals Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature

2014 ◽  
Vol 99 (6) ◽  
pp. 819-823 ◽  
Author(s):  
Ghazi Raji Qasaimeh ◽  
Sohail Bakkar ◽  
Khaled Jadallah
Keyword(s):  
Gall Bladder ◽  
Gastric Outlet Obstruction ◽  
Elective Surgery ◽  
Outlet Obstruction ◽  
Postoperative Recovery ◽  
Bladder Stone ◽  
Endoscopic Management ◽  
Bouveret’S Syndrome ◽  
Epinephrine Injection ◽  
Bouveret's Syndrome

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.

Gastric outlet obstruction caused by gallstone: Bouveret’s syndrome

1999 ◽  
Vol 31 (1) ◽  
pp. 48-49 ◽  
Author(s):  
P. Ondrejka ◽  
I. Balogh ◽  
A. Bodnár ◽  
C. E. Tóth ◽  
B. Forgács ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bouveret’S Syndrome ◽  
Bouveret's Syndrome
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