Laparoscopic Management of Bouveret’s Syndrome after Failed Endoscopic Approach

Bouveret’s syndrome is a complication of cholelithiasis that presents with gastric outlet obstruction due to an impacted gallstone in the duodenum following cholecystoduodenal fistula. This is a rare presentation of biliary-enteric fistula; therefore, there are no standardized guidelines for the management of this disease. We present a case of a patient with Bouveret’s syndrome managed with laparoscopic surgery after an unsuccessful attempt of endoscopic removal.

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

Gastroenterology Research and Practice ◽

10.1155/2009/914951 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 21

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.

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Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome

10.22514/sv.2020.16.0036 ◽

2020 ◽

Keyword(s):

Gastric Outlet Obstruction ◽

Epigastric Pain ◽

Outlet Obstruction ◽

Diagnostic Value ◽

Gastric Fistula ◽

Bouveret’S Syndrome ◽

X Ray ◽

Gastrointestinal Obstruction ◽

Biliary Enteric Fistula ◽

Bouveret's Syndrome

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.

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A rare presentation of gastric outlet obstruction (GOO) – The Bouveret's syndrome

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2015.02.001 ◽

2015 ◽

Vol 4 (1) ◽

pp. 67-71 ◽

Cited By ~ 9

Author(s):

Dheer singh kalwaniya ◽

S.V. Arya ◽

Soumya Guha ◽

Manigandan Kuppuswamy ◽

Jasneet G. Chaggar ◽

...

Keyword(s):

Gastric Outlet Obstruction ◽

Outlet Obstruction ◽

Bouveret’S Syndrome ◽

Rare Presentation ◽

Bouveret's Syndrome

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Bouveret’s Syndrome: A Case Report and a Brief Literature Review

Acta Médica Portuguesa ◽

10.20344/amp.11664 ◽

2020 ◽

Vol 33 (5) ◽

pp. 347

Author(s):

Rita Peixoto ◽

Joana Correia ◽

Mário Guimarães Soares ◽

António Gouveia

Keyword(s):

Case Report ◽

Diagnostic Tests ◽

Gallstone Ileus ◽

Outlet Obstruction ◽

Exploratory Laparotomy ◽

The Elderly ◽

Cholecystoduodenal Fistula ◽

Bouveret’S Syndrome ◽

Clinical Surveillance ◽

Bouveret's Syndrome

Bouveret’s syndrome is a rare cause of gastric outlet obstruction. We report a case of a 68-year-old woman admitted with upper digestive obstruction. A few months later, and after several diagnostic tests and clinical surveillance, a cholecystoduodenal fistula was suspected. During exploratory laparotomy, the diagnosis of Bouveret’s syndrome was confirmed and a pyelolithotomy, pyloroplasty and a cholecystectomy were performed. The patient was asymptomatic 7 months after the operation. This syndrome represents only 1% - 3% of all cases of gallstone ileus, being more frequent in women and in the elderly. The presentation is quite nonspecific, but in most cases the symptomatology suggests an upper digestive occlusion. Treatment can be achieved by lithotripsy, but most patients require a surgical approach.

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BOUVERET'S SYNDROME WITH SPONTANEOUSLY CLOSED BILIARY-ENTERIC FISTULA-A CASE REPORT-

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.69.1186 ◽

2008 ◽

Vol 69 (5) ◽

pp. 1186-1190 ◽

Cited By ~ 2

Author(s):

Akinobu FURUTANI ◽

Osamu KINOSHITA ◽

Hiroaki NAGATA ◽

Susumu NAKASHIMA ◽

Kenichirou FUKUDA ◽

...

Keyword(s):

Case Report ◽

Enteric Fistula ◽

Bouveret’S Syndrome ◽

Biliary Enteric Fistula ◽

Bouveret's Syndrome

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Bouveret’s Syndrome: 64-Slice CT Diagnosis and Surgical Management—A Case Report

Case Reports in Radiology ◽

10.1155/2012/701216 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4

Author(s):

Dinesh Sharma ◽

Rajan Sood ◽

Ashwani Tomar ◽

Anupam Jhobta ◽

Shruti Thakur ◽

...

Keyword(s):

Computed Tomography ◽

Surgical Management ◽

Duodenal Obstruction ◽

Outlet Obstruction ◽

Ct Diagnosis ◽

Cholecystoduodenal Fistula ◽

Bouveret’S Syndrome ◽

Elderly Female ◽

Bouveret's Syndrome ◽

Mdct Scanner

Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred to as Bouveret’s syndrome. We present a case of gallstone-induced duodenal obstruction in an elderly female patient, diagnosed on a 64-slice MDCT scanner. One-stage surgery, that is, stone removal and cholecystectomy, was performed resulting in relief of obstruction and complete cure. Clinical features, multidetector computed tomography (MDCT) findings, and surgical management are discussed.

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