Role of magnetic resonance imaging in Bouveret's syndrome: A case report with review of the literature

Sadovnikov, Irina; Anthony, Michelle; Mushtaq, Raza; Khreiss, Mohammad; Gavini, Hemanth; Arif-Tiwari, Hina

doi:10.1016/j.clinimag.2021.02.035

Cited by 7 publications

(2 citation statements)

References 37 publications

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“…The impacted calculus can be removed endoscopically with the help of a Dormia basket, mechanical or electrohydraulic lithotripsy, and extracorporeal shock wave lithotripsy for bigger stones [ 5 ]. Although less morbid, endoscopic stone extraction is successful in only 29% of patients [ 9 ]. Further, few patients have developed small bowel or colonic obstruction due to a stone fragment that has passed distally after endoscopic manipulation and subsequently required surgical intervention [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Mirizzi Syndrome With Bouveret Syndrome: A Rare Amalgam

Varshney¹,

Hussain²,

Selvakumar³

et al. 2022

Cureus

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Mirizzi and Bouveret syndromes are uncommon but important complications of calculous cholecystitis. Mirizzi syndrome commonly presents with jaundice due to extrinsic compression on the common bile duct by an impacted stone at the gall bladder infundibulum, whereas Bouveret syndrome presents with gastric outlet obstruction due to a large stone in the duodenum. Our case is a 65-year-old lady who presented with pain in the right upper abdomen associated with nausea and vomiting. Contrast-enhanced computed tomography and MRI of the abdomen were suggestive of calculus in the infundibulum of the gall bladder with compression over the common bile duct and a large stone in the first part of the duodenum. Upper gastrointestinal endoscopy confirmed the findings but could not retrieve the stone. Cholecystectomy with the retrieval of calculus from the infundibulum and duodenum was performed with the closure of the fistulous opening. The patient did well in the post-operative period and is doing well after nine months of follow-up. Chronic calculus cholecystitis can present in varied forms, and one should be aware of such rare complications and their management.

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Section: Discussionmentioning

confidence: 99%

Mirizzi Syndrome With Bouveret Syndrome: A Rare Amalgam

Varshney¹,

Hussain²,

Selvakumar³

et al. 2022

Cureus

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show abstract

“…This can be explained by the food impaction upstream of the gallstone. For the biliodigestive fistula, it is only found in 13% of cases on endoscopy (7).…”

Section: Discussionmentioning

confidence: 99%