A case report and review of the literature of Bouveret syndrome

Singh, Gurpreet; Merali, Nabeel; Shirol, S.; Drymousis, Panagiotis; Singh, Sukhpal; Veeramootoo, Darmarajah

doi:10.1308/rcsann.2019.0161

Cited by 17 publications

(29 citation statements)

References 18 publications

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“…Longitudinal enterolithotomy is used close to the impactation site for excision, followed by transverse raffia [17] . Laparoscopic access is preferable, although in cases where the equipment is not available or where the technique is contraindicated, the laparotomic route is accepted [18] . It is noteworthy that it is not always easy to identify the place of obstruction [6] .…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment

Rodriguez

Grossi

Siqueira

et al. 2021

International Journal of Surgery Case Reports

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Introduction Gallstone Ileus is a rare complication of cholelithiasis, associated with multiple episodes of cholecystitis, with the formation of adhesions and fistulas between the gallbladder and adjacent organs. Its diagnosis is difficult, requiring complementary imaging tests such as computed tomography or radiography. Presentation of case Female patient, with intestinal obstruction for 7 days, associated with abdominal pain and previous episodes of pain in the right hypochondrium for 3 months. Abdominal CT scan identified aerobilia, gallstone impacted in the ileocecal valve and small loop dilatation, in addition to a probable cholecystogastric fistula. Opted for exploratory laparotomy, enterolithotomy and fistula correction in one surgical time. Discussion Gallstone ileus is rare among the complications of cholelithiasis, in addition to the fact that cholecystogastric fistula is associated with gastric pylorus obstruction and not impaction on the ileocecal valve. Imaging tests are useful to complement the diagnosis, and if Rigler's triad is present, the suspicion of gallstone ileus is increased. The presence of fistula between the gallbladder and stomach presents a frequency between 0 and 13.3%. There is no gold standard treatment for gallstone ileus, but surgery options for each type of patient and severity level. Conclusion There is no definitive protocol for optimal surgical treatment for biliary ileus, but the possibility of enterolithotomy associated with cholecystectomy and fistula correction can be evaluated in selected patients.

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Section: Discussionmentioning

confidence: 99%

Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment

Rodriguez

Grossi

Siqueira

et al. 2021

International Journal of Surgery Case Reports

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“…También permite visualizar la topografía de la fistula como en nuestro caso. La colangiopancreatografía por resonancia magnética se utiliza en casos de alergia al contraste (3) .…”

Section: Discussionunclassified

Bouveret syndrome: An unusual cause of gallstone ileus

2021

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Reporte de caso RESUMEN El síndrome de Bouveret es una causa infrecuente de obstrucción digestiva alta. Se produce por una fístula colecistoentérica y pasaje de un cálculo al tubo digestivo. Su diagnóstico preoperatorio es dificultoso. El tratamiento endoscópico es de elección. La cirugía se indica en los casos que este no es exitoso. Presentamos el caso de un paciente de 67 años con síndrome de Bouveret resuelto quirúrgicamente luego de un intento endoscópico fallido.

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“…The non-operative treatment has endoscopic options: mechanical, laser lithotripsy, and electrohydraulic [1][2][3][4]. For stones that cannot be extracted, employing nets or baskets, lithotripsy methods, and extracorporeal shockwave therapy may be practiced to divide the stone before endoscopic extraction [1,4].…”

Section: Discussionmentioning

confidence: 99%

“…Operative management is performed when endoscopic methods are partly or totally failed-42% of surgical patients [1,4,5]. A popular surgical strategy consists of open gastrotomy, pyloromyotomy, or duodenotomy at or immediately proximal to the local of obstruction [4].…”

Section: Discussionmentioning

confidence: 99%

Bouveret’s Syndrome—an Unusual Fistula

Duarte

Traple

Prado³

et al. 2020

Indian J Surg

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Bouveret syndrome is a rare disease-a cause of gastric outlet obstruction. It represents less than 3% of cases of gallstone ileus, which is already rare-0.3-0.5% of patients with cholelithiasis. Persistent inflammation provokes the development of the fistula between the gallbladder and the duodenum and, with an elevation of the intraluminal pressure, the wall ischemia starts, enabling the gallstone entrance in the bowel. The risk factors are female, gallstones larger than 2.5 cm, and elderly. Morbidity and mortality are between 15 and 33%. Herein, we present a case of a Bouveret syndrome diagnosed by a CT scan.

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A case report and review of the literature of Bouveret syndrome

Cited by 17 publications

References 18 publications

Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment

Gallstone ileus associated with cholecystogastric fistula: Case report, diagnosis and surgical treatment

Bouveret syndrome: An unusual cause of gallstone ileus

Bouveret’s Syndrome—an Unusual Fistula

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