A Case Report of Cholecystoduodenal Fistula Associated with Gallstone Ileus

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.

Download Full-text

Bouveret Syndrome—The Rarest Variant of Gallstone Ileus: A Case Report and Literature Review

Case Reports in Surgery ◽

10.1155/2013/839370 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 13

Author(s):

Vasileios K. Mavroeidis ◽

Dimitrios I. Matthioudakis ◽

Nikolaos K. Economou ◽

Ioannis D. Karanikas

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Gallstone Ileus ◽

Surgical Techniques ◽

Outlet Obstruction ◽

Cholecystoduodenal Fistula ◽

Endoscopic Techniques ◽

History Of ◽

Bouveret Syndrome ◽

The Right

We present a case report of a patient with Bouveret syndrome with interesting radiological findings and successful surgical treatment after failure of the endoscopic techniques. The report is followed by a review of the literature regarding the diagnostic means and proper treatment of this rare entity. Bouveret syndrome refers to the condition of gastric outlet obstruction caused by the impaction of a large gallstone into the duodenum after passage through a cholecystoduodenal fistula. Many endoscopic and surgical techniques have been described in the management of this syndrome. This is a case of a 78-year-old patient with severe medical history who presented in bad general condition with an 8-day history of nausea, multiple bilious vomiting episodes, anorexia, discomfort in the right hypochondrium and epigastrium, and fever up to 38,5°C. The diagnosis of Bouveret syndrome was set after performing the proper imaging studies. An initial endoscopic effort to resolve the obstruction was performed without success. Surgical treatment managed to extract the impacted gallstone through an enterotomy after removal into the first part of the jejunum.

Download Full-text

Cholecystoduodenal Fistula and Gallstone Ileus: A Case Report

10.16966/2470-0991.190 ◽

2019 ◽

Vol 5 (4) ◽

Author(s):

Garritano C ◽

Chaves BL ◽

Auad AMT ◽

de Carvalho PFL ◽

de Sousa Gonçalves T ◽

...

Keyword(s):

Case Report ◽

Gallstone Ileus ◽

Cholecystoduodenal Fistula

Download Full-text

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽

10.33883/jms.v21i2.328 ◽

2019 ◽

Vol 21 (2) ◽

pp. 117-119

Author(s):

Munir Ahmad Wani ◽

Mubarak Ahmad Shan ◽

Syed Muzamil Andrabi ◽

Ajaz Ahmad Malik

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Ct Scan ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Gallstone Ileus ◽

Gall Stone ◽

Life Threatening ◽

Life Threatening Complication ◽

Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Download Full-text

Gallstone ileus: A rare and often disregarded cause of intestinal obstruction: Case report with literature review

East and Central African Journal of Surgery ◽

10.4314/ecajs.v21i1.139047 ◽

2016 ◽

Vol 21 (1) ◽

pp. 156

Author(s):

Y Mohammed

Keyword(s):

Case Report ◽

Literature Review ◽

Intestinal Obstruction ◽

Gallstone Ileus

Download Full-text

A case report and review of the literature of Bouveret syndrome

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2019.0161 ◽

2020 ◽

Vol 102 (1) ◽

pp. e15-e19 ◽

Cited By ~ 4

Author(s):

G Singh ◽

N Merali ◽

S Shirol ◽

P Drymousis ◽

S Singh ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Rare Variant ◽

Gastric Outlet Obstruction ◽

Gallstone Ileus ◽

Outlet Obstruction ◽

Review Of The Literature ◽

First Case ◽

Bouveret Syndrome

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. We report a case illustrating the rarity and severity of this condition, together with a review of the literature of the different methods of endoscopic and surgical treatment.

Download Full-text