Bouveret‘s Syndrome – A Rare Case of Proximal Ileus of Biliary Etiology

Authors: R. Šimůnek 1;  Š. Bohatá 2;  Z. Kala 1
Authors‘ workplace: Chirurgická klinika , Fakultní nemocnice Brno-Bohunice a lékařská fakulta, Masarykova universita, Brno. Přednosta: prof. MUDr. Zdeněk Kala, CSc. 1;  Radiologická klinika, Fakultní nemocnice Brno-Bohunice a lékařská fakulta, Masarykova univerzita, Brno. Přednosta: prof. MUDr. Vlastimil Válek, CSc., MBA 2
Published in: Rozhl. Chir., 2009, roč. 88, č. 3, s. 119-122.
Category: Monothematic special - Original


Bouveret’s syndrome is gastric outlet obstruction caused by impaction of large gallstone in the duodenal bulb which penetrated through a cholecystoduodenal fistula. A 56-years-old lady suffered from right upper abdominal pain and vomiting. Investigations, including abdominal radiograph, ultrasonography and computed tomography, revealed pneumobilia and a large stone impacted in the duodenal bulb. She underwent upper GIT endoscopy, where was found a large stone in the duodenal bulb and cholecystoduodenal fistula on frontal wall of pars descendens duodeni. A stone was too large for endoscopic treatment. She underwent laparotomy with cholecystectomy, the stone was removed and the cholecystoduodenal fistula was closed with omentoplastic.

Key words:
Bouveret’s syndrome – gallstone – cholecystoduodenal fistula – gastric outlet obstruction


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