Unusual presentation of Bouveret's syndrome

Charalambous, Charalambos Panayiotou; Midwinter, Mark J.; Bancewicz, J.

doi:10.1007/s005350200070

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…The first endoscopic diagnosis was made by Grove in 1976 [44], with endoscopic retrieval first being achieved by Bedogni et al in 1985 [45]. Endoscopically, the appearances can be bizarre, with fibrotic-looking ulcers that subsequently turn out to be a fistulating gallstone [14]. This is in keeping with the endoscopic findings in the case presented here.…”

Section: Diagnosissupporting

confidence: 80%

Duodenal Obstruction by Gallstones (Bouveret’s Syndrome): a Review of the Literature

Lowe

Stephenson²,

Kay³

et al. 2005

Endoscopy

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Bouveret's syndrome, first described in 1896, is gastric obstruction by a gallstone following a cholecystoduodenal fistula. Endoscopy is the mainstay of diagnosis, but radiographic examination such as upper gastrointestinal contrast series and abdominal radiography can also contribute to the diagnosis. Diagnosis by computed tomography and ultrasonography has also been described. The syndrome can be diagnosed and treated endoscopically, with stone extraction or mechanical lithotripsy. Extracorporeal shockwave lithotripsy has also been used successfully. Surgery is required in over 90% of cases, with mortality rates ranging from 19% to 24%. One-stage and two-stage procedures have been described, including enterolithotomy, cholecystectomy, and fistula repair, no convincing data are available to show which of these two approaches provides a better outcome. Although the condition is rare, Bouveret's syndrome should be considered in elderly patients with a history of chronic cholecystitis who present with pain, vomiting or haematemesis.

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Section: Diagnosissupporting

confidence: 80%

Duodenal Obstruction by Gallstones (Bouveret’s Syndrome): a Review of the Literature

Lowe

Stephenson²,

Kay³

et al. 2005

Endoscopy

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“…9 That case was managed by laparotomy and conventional open enterolithotomy. With the advent of laparoscopic surgery, laparoscopically assisted or even total laparoscopic enterolithotomies have been reported with satisfactory results.…”

Section: Discussionmentioning

confidence: 98%

Migrating Gallstone: From Bouveret's Syndrome to Distal Small Bowel Obstruction

Yau¹,

Siu²,

Tsui³

2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Gallstone ileus is an uncommon cause of small bowel obstruction. When the gallstone lodges inside the duodenum and causes gastric outlet obstruction, it is termed Bouveret's syndrome. However, it is rather unusual to seen the evolution of a migrating gallstone (from duodenum to distal small bowel) in a patient during the same hospital admission. We report a case of gallstone ileus from the initial presentation of gastric outlet obstruction to the development of distal small bowel obstruction within the same hospital admission, and its total laparoscopic treatment.

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“…Due to the nearby inflammation, the gallbladder can be FDG/PET positive [178] . Spontaneous resolution can occur when the impacted stone falls back away from the pyloric orifice [16] , but this can be associated with further bowel obstruction distal to the stomach and duodenum (gall stone ileus) [114,141] . On the other hand, the condition can be fatal due to the profound metabolic derangement [13] , and later by sepsis and multi-organ failure [62] .…”

Section: Bs Is a Rare Cause Of Gastric Outlet Obstruction Causedmentioning

confidence: 99%