Bouveret syndrome, a rare form of gallstone ileus. Case report.

Macías, Lúver; Rocha, Adriano; Alvarado, Marcos; Chung, José; Yépez, David

doi:10.15446/cr.v4n1.65771

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Bilious vomiting is uncommon in Bouveret syndrome, especially with the former being reported in only four case reports 5 10–13. Bilious emesis suggests that the level of the obstruction lies distal to either the ampulla of Vater or the cholecystoduodenal fistula opening in the duodenum, which should be the latter in this case.…”

Section: Discussionmentioning

confidence: 75%

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: 75%

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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“…Cholecystoenteric fistulas occur in 0.3-0.5% of patients with cholelithiasis, and most of them are cholecystoduodenal (60%), cholecystocolonic (17%), cholecystogastric (5%) and choledochoduodenal (5%). 8 Classical findings on plain abdominal radiography include: (i) pneumobilia; (ii) intestinal obstruction; (iii) an aberrantly located gallstone; and (iv) change of location of a previously observed stone. In the past, confirming the diagnosis was difficult, but the advent of CT and magnetic resonance imaging (MRI) has made it easier to diagnose.…”

Section: Discussionmentioning

confidence: 99%

A Rare Presentation of Intestinal Obstruction: Gall Stone Ileus

Dr Arvind Mehra

2023

jmscr

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Gallstone ileus is a mechanical intestinal obstruction due to gallstone impaction within the gastrointestinal tract.1 It is an unusual complication of cholelithiasis, occurring in fewer than 0.5 percent of patients.2 Typically as a result of the formation of cholecysto-duodenal fistula, surgical removal of the gallstone is the mainstay of treatment in order to relieve the intestinal obstruction. Objective: To know about this rare diagnosis so that one can keep it as a differential diagnosis for intestinal obstruction and thus manage accourdingly. Keywords: Intestinal obstruction, Gallstone ileus, Bouveret’s syndrome, Cholecystoduodenal fistula, Bilio-enteric fistula.

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Giant Gallstones – a Systematic Review

Alkhezzi,

Salati,

Alsulaim

et al. 2024

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Giant gallstones are rare occurrences and measure 5 cm in any one dimension. They present unique set of features and complications. Due to their rarity, we conducted this systematic review to investigate the profile of patients with giant gallstones applying seven variables. For this study, we used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After an initial search of 111 peer reviewed articles from reliable sources, we included 29 articles for this study enrolling 30 patients with mean age of 66.7 years. Majority (97%) were symptomatic, reporting with cholecysto-enteric fistula/gallstone ileus (33%), acute cholecystitis (30%) and chronic dyspepsia (24%). The management options adopted included open cholecystectomy (48%), laparoscopic cholecystectomy (33%), endoscopic lithotripsy (6%) and conservative management (6%).

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Bouveret syndrome, a rare form of gallstone ileus. Case report.

Cited by 3 publications

References 12 publications

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

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

A Rare Presentation of Intestinal Obstruction: Gall Stone Ileus

Giant Gallstones – a Systematic Review

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