Bouveret’s syndrome. Narrative review

Koulaouzidis, Anastasios; Moschos, John

doi:10.1016/s1665-2681(19)31937-4

Cited by 57 publications

(68 citation statements)

References 23 publications

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“…Patients most frequently present with abdominal pain, nausea and/or emesis (63%), haematemesis (24%), fever (5%), or occasionally with jaundice (3%) 2. It is associated with mortality rates as high as 30%6 7 although recent data shows an improvement to approximately 12% 8. The diagnosis is frequently made on cross-sectional imaging and may be confirmed with esophagogastroduodenoscopy.…”

Section: Discussionmentioning

confidence: 99%

Choleduodenal fistula with gastric outlet obstruction

et al. 2016

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Bouveret's syndrome, cholecystoduodenal fistula with gastric outlet obstruction secondary to an impacted gallstone, is a rare but serious complication of cholelithiasis. We report the case of a 69-year-old woman who presented with epigastric pain and vomiting in whom cross-sectional imaging revealed a duodenal mass with cholecystoduodenal fistula and pneumobilia. Endoscopic evaluation identified a large gallstone obstructing the pyloric channel. She underwent laparotomy and stone extraction with pyloroplasty, had an unremarkable recovery. She was asymptomatic at 15 months follow-up.

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Section: Discussionmentioning

confidence: 99%

Choleduodenal fistula with gastric outlet obstruction

et al. 2016

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“…El tratamiento quirúrgico más común es la enterolitotomía o gastrotomía, con o sin colecistectomía, y reparación de fístula 9 . La reparación de la fístula se considera innecesaria, ya que esta cerrará de manera espontánea, mientras el conducto cístico se encuentre permeable, y sin cálculos biliares residuales 9 .…”

Section: Discussionunclassified

Obstrucción de la salida gástrica secundario a fístula colecistoduodenal (síndrome de Bouveret): reporte de un caso

et al. 2014

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“…It tends to occur more commonly in women (65%) with a median age of 74.1 years 3. Due to the rarity and non-specific clinical symptoms and signs, the diagnosis can often be overlooked 4. There are several unique manifestations of the syndrome reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of cholecystoduodenal fistula: vomiting of gallstones

Thomson¹,

Miranda

Reddy

2012

BMJ Case Reports

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SummaryBouveret's syndrome is defined as gastric outlet obstruction secondary to an impacted gallstone in the duodenum via a cholecystoduodenal or cholecystogastric fistula. Common radiological findings include pneumobilia, calcified right upper quadrant mass, pyloric or duodenal obstruction and cholecystoduodenal fistula. Initial attempts through endoscopic retrieval may be successful; however, results can vary. Surgical options include enterolithotomy or gastrotomy with or without cholecystectomy and fistula repair. We describe a unique case of Bouveret's syndrome with short-lived obstruction followed by vomiting of gallstones in a morbidly obese patient and discuss the complexities of investigation and management of these patients. BACKGROUND

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Bouveret’s syndrome. Narrative review

Cited by 57 publications

References 23 publications

Choleduodenal fistula with gastric outlet obstruction

Choleduodenal fistula with gastric outlet obstruction

Obstrucción de la salida gástrica secundario a fístula colecistoduodenal (síndrome de Bouveret): reporte de un caso

An unusual presentation of cholecystoduodenal fistula: vomiting of gallstones

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