“Bouveret's syndrome” presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus

Zafar, Arif; Ingham, Gemma; Jameel, Jainudeen K.A.

doi:10.1016/j.ijscr.2013.01.017

Cited by 14 publications

(11 citation statements)

References 15 publications

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“…Other non-specific symptoms include hematemesis, weight loss, anorexia and duodenal perforation [1–14]. Differential Diagnosis include pancreatitis, perforated peptic ulcer, malignant fistula, gastric volvulus [4,5,12–14]. …”

Section: Discussionmentioning

confidence: 99%

Rare cause of gastric outlet obstruction

Gandhi

Jani

2018

Journal of Community Hospital Internal Medicine Perspectives

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Bouveret’s syndrome is a rare cause of gastric outlet obstruction. The stones enter the small bowel via cholecysto-enteric fistula. The most common presenting symptoms are abdominal pain, nausea and vomiting. The gold standard diagnostic test isesophagogastroduodenoscopy (EGD). Rigler’s triad on abdominal x-ray is classic. CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum. We present a case of a 75-year-old female who presents with 3 week history of nausea, vomiting, and diffuse abdominal pain. Initial presentation, imaging and EGD was concerning for malignancy. She was later diagnosed to have Bouveret’s syndrome and underwent laparoscopic small bowel enterotomy with removal of gallstones

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Section: Discussionmentioning

confidence: 99%

Rare cause of gastric outlet obstruction

Gandhi

Jani

2018

Journal of Community Hospital Internal Medicine Perspectives

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“…Rarely, Bouverte syndrome may cause acute pancreatitis [8]. Bouveret syndrome is usually seen in elderly women and patients with Bouveret syndrome are usually present with vomiting due to gastric outlet obstruction [9].…”

Section: Discussionmentioning

confidence: 99%

Gallstone ileus: Computed tomography findings

Ufuk¹

2018

Pau Med J

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Gallstone ileus (GI) is an unusual but serious complication of biliary stone and it is caused by a fistula between the bile ducts and stomach, duodenum or colon. Gallstone that reaches the intestinal tract can be cause ileus. Early diagnosis with imaging modalities (such as computed tomography) and treatment of ileus are of great importance for survival. In addition, accurate diagnosis of underlying cause of the ileus is also important because it will guide the surgeon.We present a 73-year old patient with gallstone ileus preoperatively diagnosed with computed tomography (CT). CT showed gastric distention, dilated duodenal and jejunal small bowel loops, a calculus in the jejunal segment of the small bowel and enteral contrast medium reflux into the fistula tract and bile ducts.Pam Med J 2018;11(2):161-163 Key words: Gallstone ileus, computed tomography, complication, small bowel obstruction ÖzetSafra taşı ileusu, safra yolu taşlarının nadir ancak ciddi bir komplikasyonu olup safra yolları ile mide, duodenum veya kolon arasındaki fistül nedeniyle oluşur. İntestinal sisteme ulaşan safra taşı ileusa neden olabilir. Görüntüleme yöntemleriyle (Bilgisayarlı tomografi gibi) safra taşı ileusunun erken tanısı ve ileusun erken tedavisi sağkalım açısından büyük öneme sahiptir. Ayrıca, altta yatan ileus sebebinin doğru tanısı cerrahiye yol göstereceğinden önemlidir. Biz burada, bilgisayarlı tomografi (BT) ile operasyon öncesi safra taşı ileusu tanısı konulan 73-yaşında bir hasta sunuyoruz. BT'de midede distansiyon, duodenal ve jejunal ince barsak anslarında dilatasyon, jejunumda taş ve oral kontrast maddenin fistül traktına ve safra yollarına reflüsü gösterilmektedir.

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“…The most common presenting symptoms are abdominal pain, nausea and vomiting. Other non-specific symptoms include hematemesis, weight loss, anorexia and duodenal perforation [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Differential Diagnosis include pancreatitis, perforated peptic ulcer, malignant fistula, gastric volvulus [4,5,[12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Rare Cause of Gastric Outlet Obstruction

Gandhi

Jani

2016

American Journal of Gastroenterology

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Bouveret's syndrome is a rare cause of gastric outlet obstruction. The stones enter the small bowel via cholecysto-enteric fistula. The most common presenting symptoms are abdominal pain, nausea and vomiting. The gold standard diagnostic test is esophagogastroduodenoscopy (EGD). Rigler's triad on abdominal x-ray is classic. CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum. We present a case of a 75-yearold female who presents with 3 week history of nausea, vomiting, and diffuse abdominal pain. Initial presentation, imaging and EGD was concerning for malignancy. She was later diagnosed to have Bouveret's syndrome and underwent laparoscopic small bowel enterotomy with removal of gallstones ARTICLE HISTORY

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“Bouveret's syndrome” presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus

Abstract: Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome.

Cited by 14 publications

References 15 publications

Rare cause of gastric outlet obstruction

Rare cause of gastric outlet obstruction

Gallstone ileus: Computed tomography findings

Rare Cause of Gastric Outlet Obstruction

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