Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review

Al-Habbal, Yahya; Ng, Matthew; Bird, David; McQuillan, Trevor; Al‐Khaffaf, Haytham

doi:10.4240/wjgs.v9.i1.25

Cited by 23 publications

(30 citation statements)

References 155 publications

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“…While Bouveret syndrome remains a rare entity, its high mortality rate at 12% denotes that prompt diagnosis and treatment are critical for Bouveret syndrome 2. This remains a challenge, as non-specific symptoms such as abdominal discomfort, nausea and vomiting were reported as the the most common presentation of Bouveret syndrome 2 5 7 8. In contrast, symptom complex presented by the patient was unusual and bewildering, which led to the initial impression of acute cholecystitis and the 5-day delay before reaching the diagnosis of Bouveret syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Gallstone ileus constitutes less than 1% of cases of intestinal obstruction, and Bouveret syndrome in turn accounts for 3% of gallstone ileus 6 7. While Bouveret syndrome remains a rare entity, its high mortality rate at 12% denotes that prompt diagnosis and treatment are critical for Bouveret syndrome 2.…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive treatment with endoscopic or percutaneous modalities such as net/basket extraction, mechanical lithotripsy, laser lithotripsy and extracorporeal shock wave lithotripsy had been advocated by some investigators 2 5 7 15–178.…”

Section: Discussionmentioning

confidence: 99%

“…While not being among the standard treatment options for an emergency gallstone ileus in the UK and Europe, these methods have been cited to benefit from lower morbidity and mortality rates 8. On the other hand, these techniques are technically challenging, are often limited to smaller stones (<3 cm), require expensive specialised resources and have a poorer success rate in general 7 15 18 19. Given that most impacted stones in Bouveret syndrome measure greater than 2.5 cm, 91% of endoscopic and percutaneous attempts are unsuccessful and surgery is eventually required 2 6.…”

Section: Discussionmentioning

confidence: 99%

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The curious case of biliary emesis and bowel obstruction from Bouveret syndrome

Chow

Zia²,

Scott³

et al. 2019

BMJ Case Rep

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Bouveret syndrome is a rare complication of biliary lithiasis. This sequela is caused by the passage of the gallstone via a bilioenteric fistula, resulting in an impacted gallstone in the duodenum or stomach. The common presentation of non-specific symptoms contributes to the diagnostic uncertainty and delay, which is strongly associated with adverse outcomes. We report an uncomplicated stone extraction via open gastrotomy in an elderly man afflicted with bowel obstruction and biliary vomit secondary to Bouveret syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The curious case of biliary emesis and bowel obstruction from Bouveret syndrome

Chow

Zia²,

Scott³

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

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“…This option might be considered for young, fit patients with a long life expectancy. In a recently‐published case report and a systemic review the authors did not recommend immediate cholecystectomy or fistula dissection, as it can be associated with significant morbidity and mortality. Delayed cholecystectomy and fistula repair should be offered electively to patients with persistent symptoms or patients <50 years of age.…”

Section: Discussionmentioning

confidence: 99%

Bouveret's Syndrome: A rare cause of gastric outlet obstruction

2019

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Bouveret's Syndrome is a rare cause of gastric outlet obstruction secondary to the impaction of a gallstone within a cholecystogastric or cholecystoduodenal fistula. It is a rare variant of gallstone ileus. Prompt diagnosis, appropriate investigations and proper treatment are essential. The aim of the present case report was to review the currently-available literature regarding Bouveret's syndrome management approach and to share our experience. A 69-year-old man presented to our surgical unit with a 1-week history of upper gastrointestinal bleeding and gastric outlet obstruction symptoms. The diagnosis of Bouveret's Syndrome was confirmed with computed tomography. He subsequently underwent a one-stage open partial gastrectomy and cholecystectomy with Roux-en-Y anastomosis and controlled duodenostomy. Postoperative recovery was uneventful and the patient was discharged on postoperative day 11. With the current paucity of high-level evidence regarding the management approach for Bouveret's syndrome, the gold standard management algorithm is yet to be developed. The management approach should be tailored, with an appropriate choice of treatment based on the patient's clinical presentation and comorbidities and the expertise available. Surgical approach should be considered if endoscopic treatment is not feasible or has failed.

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