Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography

Algın, Oktay; Özmen, Evrim; Metin, Melike Ruşen; Ersoy, Pamir Eren; Karaoğlanoğlu, Mustafa

doi:10.5505/tjtes.2013.97254

Cited by 13 publications

(10 citation statements)

References 7 publications

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“…The so-called “ectopic gallstone” is the stone shadow on the right side at the level of T12–L1 vertebrae. MRCP, especially contrast-enhanced MRCP, has high diagnostic value as it can detect the presence of fistula, as well as the size and location of the stone and its relationship with the fistula[7]. Upper gastrointestinal endoscopy is both diagnostic and therapeutic for this disease, as it can visualize the site and cause of upper gastrointestinal obstruction including the incarcerated stones.…”

Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: A case report

Wang¹,

Du²,

Chen³

et al. 2019

WJCC

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BACKGROUNDBouveret syndrome is a rare complication of cholelithiasis, with only 315 cases reported in the literature between 1967 and 2016. Delay in diagnosis is associated with a high mortality rate. Diagnosis is based upon clinical manifestations, gastroscopy, and imaging studies such as abdominal computed tomography and magnetic resonance cholan-giopancreatography. Endoscopic stone extraction or lithotripsy is the preferred choice for treatment as it is safe and minimally invasive with few complications. However, if endoscopy fails, surgery is required.CASE SUMMARYA 61-year-old female patient presented with recurrent epigastric pain for more than 6 mo. On endoscopy, a large amount of food residue was present in the stomach with multiple stones and ulcers in the antro-pyloric region. Based on these findings, a diagnosis of gastrolithiasis was made. However, computed tomography of the abdomen revealed the correct diagnosis of Bouveret syndrome. Initially, endoscopic treatment was attempted but it failed. Later, she was successfully managed by cholecystectomy with duodenal stone extraction and fistula repair (one-step method). At the last follow-up 6 mo after surgery, the patient was symptom-free.CONCLUSIONBouveret syndrome is a rare complication of gallstones that requires prompt endoscopic or surgical treatment to prevent mortality.

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Section: Discussionmentioning

confidence: 99%

Bouveret syndrome: A case report

Wang¹,

Du²,

Chen³

et al. 2019

WJCC

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“…However, magnetic resonance cholangiopancreatography clearly shows the whole biliary system and differentiates fluid from calculi. [10,11] Magnetic resonance cholangiopancreatography also identifies fistula between the biliary system and the gastrointestinal system. [10] It can be used for evaluation if the pericholecystic fluid is found or not and evaluation of gallbladder, stomach and the intestinal wall.…”

Section: Discussionmentioning

confidence: 99%

Bouveret’s syndrome: A case based review; clinical presentation, diagnostics and treatment approaches

Ferhatoğlu

Kartal

2018

Sisli Etfal

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C omplications related to gallstones are not rare in daily medical practice, which are acute cholecystitis, pancreatitis, choledocolithiasis and gallstone ileus. Gallstone ileus is obstruction of the gastrointestinal system that arises from gallstones and occurs only approximately 0.3-0.5% of the patients having gallstones. [1] Obstruction usually occurs in the terminal ileum and ileocecal valve (70%), rarely occurs in proximal ileum or jejunum (20-40%). [2] Gastric outlet obstruction that arises from gallstones impacted in the distal stomach or proximal duodenum after passing through a cholecystoduodenal, cholecystogastric or rarely choledocoduodenal fistula is called as Bouveret's syndrome (BS). The first two cases were described for the first time in 1896 by a Parisian surgeon, Leon Bouveret. [3] This rare complication is observed only 1-3% of patients having gallstone ileus and more frequent in patients with advanced age and comorbid diseases. [4] It is mostly presented as single case reports; the largest case series in the literature only consist of six cases. [5] Because of the rarity of this disease, no standardized diagnostic or therapeutic technique is described, including endoscopic techniques or surgical approaches (open or laparoscopic). In this paper, a case of BS was presented. The authors also aimed to review the diagnosis, management and treatment of this rare disease and to update the previous reviews. The patient's written consent was obtained in this paper.

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“…It is expected that probiotic bacteria in the intestinal tract can grow rapidly, but the result is often counterproductive, resulting in the emergence of drug-resistant pathogenic bacteria or serious double infections. Microecological preparations, also known as microecological regulators, are produced with the development of intestinal nutritional support [4][5][6]. The human intestine is a huge and complex microecosystem, and the balance between its various floras is of great significance to the health and recovery of the disease.…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Image Segmentation of the Proximal Colon by U-Net for the Clinical Study of Somatostatin Combined with Intestinal Obstruction Catheter

Dou¹,

Li²,

Wang³

2022

Computational and Mathematical Methods in Medicine

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Objective. U-Net technology is implemented for image segmentation to diagnose cases of intestinal obstruction. To evaluate the application value of somatostatin combined with transanal intestinal obstruction decompression catheter in the treatment of distal colonic malignant intestinal obstruction and to explore the therapeutic effect of somatostatin on acute abdomen surgery in patients with intestinal obstruction. Methods. After the segmentation technique, a retrospective analysis of 30 patients with acute and complete distal colonic malignant obstruction treated by surgery was divided into a control group and an observation group according to a random number table. The treatment efficiency, clinical symptoms, disappearance time after treatment, and the incidence of complications were compared between the two groups of patients. Results. The image segmentation using U-Net can effectively assist in the medical diagnosis of the colon. Our study found that patients with combined treatment with somatostatin and anal intestinal obstruction catheter were relieved of preoperative abdominal pain and abdominal distension; compared with the abdominal circumference at the time of admission, the abdominal circumference was significantly reduced. Abdominal examination was performed 3 days after comprehensive treatment, and combined with computed tomography (CT), we observed that the measured maximum transverse diameter of the proximal colon was significantly smaller than that before treatment. Before treatment, all patients were divided into a control group and a treatment group. After treatment, the symptoms of the two groups of patients were alleviated. The treatment effective rate of the observation group was 93.3%, and the treatment effective rate of the control group was 73.3%. The effective rate was significantly higher than that of the control group, and the difference was statistically significant. Conclusions. Through the use of image segmentation technology, somatostatin treatment of early inflammatory bowel obstruction after acute abdomen surgery can effectively improve the treatment efficiency of patients, shorten the disappearance of clinical symptoms, reduce the incidence of complications, and have a significant therapeutic effect, which is worthy of clinical application. Somatostatin combined with enteral obstruction catheter treatment is safe and effective for elderly patients with acute distal large bowel malignant intestinal obstruction. It has a higher completion rate of laparoscopic surgery and a first-stage anastomosis power, which reduces the risk of perioperative period and reduces the patient’s financial burden.

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Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography

Cited by 13 publications

References 7 publications

Bouveret syndrome: A case report

Bouveret syndrome: A case report

Bouveret’s syndrome: A case based review; clinical presentation, diagnostics and treatment approaches

Computed Tomography Image Segmentation of the Proximal Colon by U-Net for the Clinical Study of Somatostatin Combined with Intestinal Obstruction Catheter

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