Unspecific Abdominal Symptoms and Pneumobilia: A Rare Case of Gastrointestinal Obstruction

Keller, Martina; Epp, Carola; Meyenberger, Christa; Sulz, Michael Christian

doi:10.1159/000364818

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…When endoscopy is not successful or the technical expertise is not available, surgical options may need to be considered for treatment of patients with Bouveret syndrome. One common surgical approach consists of open gastrotomy, 19 pylorotomy, 20 or duodenotomy 1 at or immediately proximal to the site of obstruction. This is most commonly used in cases where the stone can be easily maneuvered and there is not extensive mucosal ulceration.…”

Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: current management strategies

Caldwell

Lee

Leggett

et al. 2018

CEG

103

105

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Bouveret syndrome is a rare complication of cholelithiasis that usually presents with signs and symptoms of gastric outlet obstruction. Given the relative rarity of this condition, there are no standardized guidelines for the management of this condition. In this paper, we review the diagnosis and management options (endoscopic, laparoscopic, and open approaches) of patients with Bouveret syndrome, including a report of one case to illustrate some of the endoscopic and surgical principles of management.

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Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: current management strategies

Caldwell

Lee

Leggett

et al. 2018

CEG

103

105

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show abstract

“…If endoscopic treatment fails or isn't feasible due to a lack of expertise, surgical interventions may be necessary for managing patients with Bouveret syndrome, although it comes with a higher morbidity risk. These surgical options include open gastrotomy, pyloromyotomy, or duodenotomy at or near the point of obstruction [9][10][11]. Gastrotomy can be employed to extract the stone if it's feasible to maneuver an impacted gallstone from the duodenum into the stomach [12].…”

Section: Discussionmentioning

confidence: 99%

Bigger Than a Hen’s Egg: A Case of Bouveret Syndrome

Zaher,

Ebrahim,

Al Salman

et al. 2024

Cureus

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Bouveret syndrome, a rare complication of cholelithiasis resulting in gallstone ileus, presents diagnostic and therapeutic challenges due to its low incidence and nonspecific symptoms. We report a case of Bouveret syndrome in a middle-aged male without significant medical history, emphasizing the need for heightened clinical suspicion. Diagnostic imaging, including computed tomography and upper endoscopy, revealed gastric outlet obstruction and a cholecystoduodenal fistula. Treatment involved unsuccessful endoscopic lithotripsy followed by surgical intervention. This case underscores the importance of interdisciplinary collaboration for successful management. With no standardized approach, individualized treatment strategies, including endoscopic and surgical interventions, are crucial for favorable outcomes in Bouveret syndrome.

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“…Stones <2.5 cm in size usually pass into the small bowel while larger gallstones usually become impacted within the gastric outlet (3). Because the syndrome is common in elderly patients with comorbidities and higher perioperative surgical risk, an endoscopic approach is usually the first-line intervention (8). Despite many available endoscopic techniques, including mechanical lithotripsy, net extraction, Figure 1) Abdominal x-ray.…”

Section: Discussionmentioning

confidence: 99%

Bouveret Syndrome: When There Are No Options

Baharith¹,

Khan²

2015

Canadian Journal of Gastroenterology and Hepatology

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An 85-year-old female nursing home resident presented with a medical history of dementia, stroke, hypertension, gastroesophageal reflux disease and cholethiasis. The patient was referred because of four episodes of coffee-ground emesis and symptoms of right upper quadrant abdominal pain, with no issues with bowel movements. There was limited other information available due to the underlying history of dementia. The patient's vital signs were stable. Physical examination revealed normal cardiorespiratory parameters. The abdominal examination revealed a tender right upper quadrant, with no palpable mass and the presence of bowel sounds. Laboratory investigations revealed a white blood cell count of 18.4×10 9 /L

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Unspecific Abdominal Symptoms and Pneumobilia: A Rare Case of Gastrointestinal Obstruction

Cited by 8 publications

References 8 publications

Bouveret syndrome: current management strategies

Bouveret syndrome: current management strategies

Bigger Than a Hen’s Egg: A Case of Bouveret Syndrome

Bouveret Syndrome: When There Are No Options

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