A Rare Case of Surgical Treatment of Female Patient with Bouveret Syndrome

Faiziev, Z.S.; Гульмурадов, Т. Г.; Калмыков, Е.Л.; Faiziev, H.Z.; Mukhamadieva, H.S.

doi:10.18484/2305-0047.2016.5.508

Novosti Khirurgii

2016

DOI: 10.18484/2305-0047.2016.5.508

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A Rare Case of Surgical Treatment of Female Patient with Bouveret Syndrome

Z.S. Faiziev¹,

Т. Г. Гульмурадов²,

Е.Л. Калмыков³

et al.

Abstract: Синдром Bouveret характеризуется обтурацией выходного отдела желудка или области двенадца-типерстной кишки желчным камнем вследствие развития пузырно-дуоденального свища и встречается в 0,3-0,5% случаев осложнений желчекаменной болезни. Целью данного сообщения является демонстрация редкого клинического наблюдения развития острой непроходимости выходного отдела желудка желчным камнем. При проведении УЗИ исследования ниже проекции желчного пузыря визуализировалось гипер-эхогенное образование с четкими контурами … Show more

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Cited by 3 publications

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Bouveret Syndrome

Ong¹,

Swift

Stokell

et al. 2019

Journal of Clinical Gastroenterology

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Background and Goals: Bouveret syndrome is characterized by gastroduodenal obstruction caused by an impacted gallstone. Current literature recommends endoscopic therapy as the first line of intervention despite significantly lower success rates compared with surgery. The lack of treatment efficacy studies and the paucity of clinical guidelines contribute to current practices being arbitrary. The aim of this systematic review was to identify factors that predict outcomes of endoscopic therapy. Subsequently, a predictive tool was devised to predict the success of endoscopic therapy and recommendations were proposed to improve current management strategies of impacted gallstones in the upper gastrointestinal tract. Methods: A systematic search of PubMed, Medline, Cochrane, and Scopus was performed for articles that contained the terms “Bouveret syndrome,” “Bouveret’s syndrome,” “gallstone” AND “gastric obstruction” and “gallstone” AND “duodenal obstruction” that were published between January 1, 1950 to April 15, 2018. Articles were reviewed by 3 reviewers and raw data collated. χ2 and Kolmogorov-Smirnov tests were used to test associations between predictors and endoscopic outcomes. A logistic regression model was then used to create a predictive tool which was cross validated. Results: Failure of endoscopic therapy is associated with increasing gallstone length (P<0.0001) and impaction in the distal duodenum (P<0.05). Using multiple endoscopic modalities is associated with better success rates (P<0.05). The novel predictive tool predicted success of endoscopic therapy with an area under the receiver operating characteristic score of 0.86 (95% confidence interval: 0.79-0.94). Conclusion: In Bouveret syndrome, a selective approach to endoscopic therapy can expedite definitive treatment and improve current management strategies.

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Bouveret Syndrome

Ong¹,

Swift

Stokell

et al. 2019

Journal of Clinical Gastroenterology

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Clinical Cases of Gallstone Ileus

Галимов

Khanov

Nagaev

et al. 2021

Kreativnaâ hirurgiâ i onkologiâ

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Background. Gallstone ileus is a rare complication of cholelithiasis accounting for 0.3–2.1% total acute intestinal obstructions. The recent years are witnessing a sharply elevated incidence of cholelithiasis and its entailed complications. The major diagnostic biases are the atypical clinical presentation, instrumental and laboratory evidence, and a relative paucity of surgical cases.Aim. Highlighting to surgeons the feasibility of this rare reluctantly diagnosed form of acute small bowel obstruction.Materials and methods. The article presents the clinical observations of gallstone-induced small intestinal obstruction collected at a surgery unit of the Bashkir State Medical University Clinic. Patients had surgeries for cholecystoduodenal fistula embolisation, gastro/enterotomy and lithoextraction followed by gastro/enterotomy wound suturing.Results and discussion. Patients had a benign postoperative period are were discharged in a satisfactory condition on day 7–10 after surgery for outpatient surveillance.Conclusion. Surgeons need to contemplate this pathology to ensure timely diagnosis and treatment, as well as avoid possible complications. Mostly important still is a timely gallbladder resection upon diagnosing cholelithiasis via laparoscopic cholecystectomy as a “gold standard” in treatment for this disease.

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Gallstone ileus in a middle-aged male with an atypical history: a case report

Vinnik

Teplyakova

Volkov

et al. 2022

Acta biomedica scientifica

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Currently, gallstone ileus is an unusual complication of cholelithiasis (0.3–3.0 %) and a rare cause of mechanical bowel obstruction (0.1–4.0 %). The rarity of the condition makes it impossible to plan the large prospective randomized clinical trials, so the analysis of case reports is significant for decision making in the management of gallstone ileus. We report a case of gallstone ileus in a middle-aged male who had a history of surgery for duodenal ulcer perforation in past. A combination of peptic ulcer disease and cholelithiasis is based on a reduced gastrointestinal hormones secretion. Clinical specialists need to consider information about the greater frequency and asymptomatic clinical course of gallstone disease against a background of duodenal ulcer. Duodenal ulcer scar and bulbar deformity may promote to the cholecystoduodenal fistula formation. In the presence of an acute bowel obstruction symptoms and the absence of gallbladder instrumental examination results, it is possible to recommend the prior gastroduodenoscopy for the pre-operative pneumobilia detection. The optimal surgical approaches for acute gallstone ileus are still controversial.

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A Rare Case of Surgical Treatment of Female Patient with Bouveret Syndrome

Cited by 3 publications

References 7 publications

Bouveret Syndrome

Bouveret Syndrome

Clinical Cases of Gallstone Ileus

Gallstone ileus in a middle-aged male with an atypical history: a case report

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