Abstract

Case Report

Bouveret Syndrome in an Elderly Female

Zvi H. Perry*, Udit Gibor, Shahar Atias, Solly Mizrahi, Alex Rosental and Boris Kirshtein

Published: 03 January, 2017 | Volume 1 - Issue 1 | Pages: 012-015

Introduction: A gastric outlet obstruction secondary to a gallstone ileus is known as Bouveret syndrome. Herein we present a case of an elderly woman with an impacted gallstone in duodenum and discuss its’ management.

Patient description: A 96-year-old woman was admitted to our department due to a gastric outlet obstruction. Initial gastroscopy revealed a gastric bezoar. An attempt for its extraction failed. She underwent a laparotomy in which a cholecystoduodenal fistula and a large impacted stone were found. Separation of the fistula, including closure of the duodenum side, cholecystectomy and removal of the obstructing gallstone were performed. Additional stones were found and retrieved during common bile duct (CBD) exploration. Surgery was finalized by duodenoplasty, closure and T-tube drainage of the CBD. Post-operative course was prolonged and uneventful.

Discussion and Conclusions: Bouveret syndrome is a rare cause of gastric outlet obstructions. In this case, unsuccessful endoscopic treatment necessitated surgery for removal of impacted gallstone in the duodenum.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001002 Cite this Article Read Full Article PDF

Keywords:

Bouveret syndrome; Elevated liver enzymes; Bowel obstruction; Fistulae; Duodenal obstruction; Surgery; Elderly

References

  1. Artioli G, Muri M, Praticò FE, Marcantoni EA, Gazzani SE, et al. Gallstone ileus: literature review. Acta Biomed 2016; 87: 40-44. Ref.: https://goo.gl/UhDzKy
  2. Giese A, Zieren J, Winnekendonk G, Henning BF. Development of a duodenal gallstone ileus with gastric outlet obstruction (Bouveret syndrome) four months after successful treatment of symptomatic gallstone disease with cholecystitis and cholangitis: a case report. J Med Case Rep. 2010; 4: 376. Ref.: https://goo.gl/URhdsQ
  3. Yong E, Chiu TF, Kamel H, Yong E. To leave no stone unturned: cholelithiasis and subsequent gallstone ileus. BMJ Case Rep. 2016. Ref.: https://goo.gl/r4rTr0
  4. Mumoli N, Cei M, Luschi R, Carmignani G, Orlandi F. Bouveret syndrome. Emerg Med J. 2010; 277: 525. Ref.: https://goo.gl/SjholH
  5. Rossi D, Khan U, McNatt S, Vaughan R. Bouveret syndrome: a case report. W V Med J. 2010; 106: 18-22. Ref.: https://goo.gl/71s2Zs
  6. Gavrila D, Galusca C, Berbecel M, Boros M, Dumitrascu T. Bouveret Syndrome - An Exceptional Complication of a Very Frequent Disease. Chirurgia (Bucur). 2016; 111: 283-285. Ref.: https://goo.gl/n7Ixtq
  7. Vidal O, Seco JL, Alvarez A, Triñanes JP, Serrano LP, et al. Bouveret syndrome: 5 cases. Rev Esp Enferm Dig. 1994; 86: 839-844. Ref.: https://goo.gl/hTVgzd

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Similar Articles

Recently Viewed

  • An Unusual Case of Hydatid Cyst Presenting as Pyopneumothorax
    Anand Shweta*, Kumar Vikas and Choudhary Eblow Anand Shweta*,Kumar Vikas,Choudhary Eblow. An Unusual Case of Hydatid Cyst Presenting as Pyopneumothorax. J Pulmonol Respir Res. 2024: doi: 10.29328/journal.jprr.1001050; 8: 001-002
  • The Pores of Kohn, an Overlooked Pulmonary Structure: A Review
    Aboubacar Kaka* and Frederick Merchant Aboubacar Kaka*,Frederick Merchant. The Pores of Kohn, an Overlooked Pulmonary Structure: A Review. J Pulmonol Respir Res. 2024: doi: 10.29328/journal.jprr.1001063; 8: 063-068
  • “Fatty Lungs”: An uncommon case of Autoimmune Pulmonary Alveolar Proteinosis
    Arnaldo A Nieves-Ortiz*, Kyomara Hernandez-Moya, Juan Garcia-Puebla, Kimberly Padilla-Rodriguez, Neshma Roman-Velez, Giovanni Veloz-Irizarry, Keren Mendez-Ramirez, Hector Collazo-Santiago, Jose Adorno-Fontanez and Ricardo Fernandez-Gonzale Arnaldo A Nieves-Ortiz*,Kyomara Hernandez-Moya,Juan Garcia-Puebla,Kimberly Padilla-Rodriguez,Neshma Roman-Velez,Giovanni Veloz-Irizarry,Keren Mendez-Ramirez,Hector Collazo-Santiago,Jose Adorno-Fontanez,Ricardo Fernandez-Gonzale. “Fatty Lungs”: An uncommon case of Autoimmune Pulmonary Alveolar Proteinosis. J Pulmonol Respir Res. 2021: doi: 10.29328/journal.jprr.1001029; 5: 076-077
  • Asthma and pregnancy prevalence in a developing country and their mortality outcomes
    Raul Aguilar*, Jorge Martinez, Edgar Turcios and Victor Castro Raul Aguilar*,Jorge Martinez,Edgar Turcios,Victor Castro. Asthma and pregnancy prevalence in a developing country and their mortality outcomes. J Pulmonol Respir Res. 2021: doi: 10.29328/journal.jprr.1001031; 5: 088-093
  • Comprehensive Acceptance Testing and Performance Evaluation of the Symbia Intevo Bold SPECT/CT System for Clinical Use
    Subhash Chand Kheruka*, Naema Al-Maymani, Noura Al-Makhmari, Huda Al-Saidi, Sana Al-Rashdi, Anas Al-Balushi, Anjali Jain, Khulood Al-Riyami and Rashid Al-Sukaiti Subhash Chand Kheruka*,Naema Al-Maymani,Noura Al-Makhmari,Huda Al-Saidi,Sana Al-Rashdi,Anas Al-Balushi,Anjali Jain,Khulood Al-Riyami,Rashid Al-Sukaiti. Comprehensive Acceptance Testing and Performance Evaluation of the Symbia Intevo Bold SPECT/CT System for Clinical Use. J Radiol Oncol. 2025: doi: 10.29328/journal.jro.1001076; 9: 017-030

Read More

Most Viewed

Read More

Help ?