Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos

Iñiguez, Armando; Butte, Jean M.; Zúñiga, José Miguel; Crovari, Fernando; Llanos, O

doi:10.4067/s0034-98872008000200004

Cited by 14 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our recommendations fall in line with the successful treatment of Bouveret syndrome in patients below the age of 50. ose cases documenting a cholecystectomy performed this procedure within the same operation as the removal of Case Reports in Gastrointestinal Medicine the gallstone, with successful results [10][11][12][13]. Furthermore, all cases of patients below the age of 50 carried out a fistula repair, again with successful results [10][11][12][13][14]. As such, our case, alongside the existing literature regarding treatment in younger patients, shows that younger patients indeed can accept the greater surgical pressures associated with these approaches.…”

Section: Discussionmentioning

confidence: 99%

Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient

Yang

Chang

2020

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

Bouveret syndrome, a specific form of gallstone ileus, is the obstruction of the gastric outlet by a gallstone, which can enter the duodenum through a fistula. While the average age of individuals with Bouveret syndrome is 74 years, our patient was 42 years of age at the time of operation, significantly younger than the average patient afflicted with this condition. In the treatment of our patient's condition, the operation conducted entailed a partial duodenectomy, gastrojejunostomy, cholecystectomy, common bile duct exploration, extraction of bile duct stones, and insertion of a t-tube in the bile duct. e patient was found to be in healthy condition upon check-up six months after the operation. e outcome of our case suggests that younger Bouveret patients can safely undergo multiple surgical procedures in the treatment of Bouveret syndrome. Our case also suggests that a cholecystectomy and the removal of the obstructing gallstone can both be carried out within one operation, although coupling these two procedures in one operation might be riskier for patients within the normal age range of Bouveret syndrome. We also suggest that fistula repair be carried out for younger Bouveret patients in particular and that the patient be subjected to a CT scan in the diagnosis of Bouveret syndrome when this condition is suspected.

show abstract

Section: Discussionmentioning

confidence: 99%

Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient

Yang

Chang

2020

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

show abstract

“…About 42% of patients in whom endoscopic stone removal is attempted, end up in surgical management. The current treatment of choice for biliary ileus is enterolithotomy combined with exploratory laparotomy to assess the duodenum and small intestine and colon [1,[8][9][10][11]18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Controversy exists for both diagnostic methods and definitive treatment but, contrasted computed tomography is generally considered the method of choice, and surgical treatment is the ideal method for resolution, in one or two stages, depending on the patient's condition, either open or laparoscopic depending on the experience of the surgeon, or it can be performed by endoscopic resolution [7,[11][12][13][14]. Treatment is initially aimed at solving the intestinal occlusion.…”

Section: Introductionmentioning

confidence: 99%

Bouveret Syndrome Resolved by a Two-Staged Endoscopic and Surgical Approach

Rb¹,

Ca²,

Bizueto-Rosas³

et al. 2020

J Surg Open Access

View full text Add to dashboard Cite

Introduction: Among the rare complications of cholecystitis is gallstone ileus and the least common is Bouveret syndrome, more frequent in older women. The diagnosis is fortuitous in most cases, so in patients with intestinal occlusion and medical history of cholecystitis, it should be considered as a possibility. The ideal treatment remains controversial. Case:We present a 93-year-old patient, with intestinal occlusion symptoms and confirmed with Bouveret syndrome after endoscopic diagnosis, with unsuccessful initial treatment and subsequently resolved with open surgery through a jejunal enterotomy with stone extraction and good postoperative evolution.Discussion: Clinically, these patients present with nonspecific symptoms such as vomiting, nausea, abdominal pain, and evidence of upper Gastrointestinal (GI) bleeding. Abdominal Computed Tomography (CT) scan is the reference diagnostic study. Endoscopy can be in some cases both diagnostic and therapeutic; the vast majority of cases are resolved with open surgery in one or two stages depending on the patient's condition. Laparoscopic surgery can be beneficial but requires a mini-laparotomy to remove large stones. Conclusion:The diagnosis of Bouveret syndrome requires a high index of suspicion in those patients with a history of cholelithiasis and symptoms of intestinal occlusion. There is the option of definitive diagnosis and treatment through endoscopic procedures, but these require the availability of diverse instruments and operator experience. For those cases with stones larger than 2.5 cm, a first intention open surgery approach is recommended.

show abstract

“…Symptoms of Mirizzi syndrome include abdominal pain, fever with chills and jaundice as in biliary obstruction. Stones migrating into intestinal tract either distally resulting in intestinal obstruction called as biliary ileus or may also rarely produce proximal duodenal obstruction causing features of gastric outlet obstruction a clinical condition described in literature as Bouveret syndrome [8,9] (Figure 7).…”

Section: Discussionmentioning

confidence: 99%

Mirizzi Syndrome with Type F Bile Duct Anomaly- A Rare Case Report

Mahalingam¹

2018

MJCCS

View full text Add to dashboard Cite

The Mirizzi's syndrome is an uncommon condition characterized by obstructive jaundice secondary to a gallstone impacted in the infundibulum of gallbladder obstructing the common bile duct. Pre-operative diagnosis is very difficult since clinical findings, laboratory data and radiological features are not specific. We are presenting a 36 year old female presented with obstructive jaundice, cholangitis and acute kidney injury. She was found to have choledocholithiasis with type F biliary anomaly and was managed conservatively with antibiotics and ERCP with biliary stenting. The patient was stabilized and subsequently taken up for surgery. Intra-operatively a type F biliary anomaly with Mirizzi syndrome was made out. Hence cholecystectomy with hepaticojejunostomy including the aberrant duct was done. The case is presented for the interesting and rare association of bile duct anomaly with Mirizzi's syndrome.

show abstract

Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos

Cited by 14 publications

References 10 publications

Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient

Bouveret Syndrome: A Rare Case of Instance and Treatment in a Younger Patient

Bouveret Syndrome Resolved by a Two-Staged Endoscopic and Surgical Approach

Mirizzi Syndrome with Type F Bile Duct Anomaly- A Rare Case Report

Contact Info

Product

Resources

About