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

Overview

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


Sources

1. Fenchel, R. F., Krige, J. E. J., Bornman, P. C. Bouverets Syndrome Complicated by Acute Pancreatitis. Digestive Surgery, 1999; 6: 525–527.

2. Frattaroli, F., Reggio. D., Guadalaxara, A. Bouverets syndrome: case report and review of the literature. Hepatogastroenterology, 1997; 1019–1022.

3. Ah Chong, K, Leong, Y. Gastric outlet obstruction due to gallstones. Post. Med. J., 1987; 63: 90–91.

4. Mendelow, A. D. Unusual presentation of biliary fistulae: Bouverets syndrome and upper gastro-intestinal haemorrhage. A Afr. J. Surg., 1974; 2: 47–50.

5. Chait, M. M., Lerner, A. G. Bouverets syndrome presenting as upper gastrointestinal haemorrhage. Am. J. Gastroenterol., 1986; 1: 1199–1201.

6. Reisner, R. M., Cohen, J. R. Gallstone ileus: A review of 1001 reported cases. Ann. Surg., 1994; 60: 441–446.

7. Day, E. A., Marks, C. Gallstone ileus: review of the literature and presentation of 34 new cases. Am. J. Surg., 1975; 129: 552–558.

8. Thomas, T. L., Jaques, P. F., Weaver, P. C. Gallstone obstruction and perforation of the duodenal bulb. Br. J. Surg., 1976; 63: 131–132.

9. Brennan G. B., Rosenberg R. D., Arora S. Bouveret syndrome. RadioGraphics, 2004; 24: 1171–1175.

10. Pickhardt, P. J., Friedland, J. A., Hruza, D. S., Fisher, A. J. CT, MR cholangio-pancreatography, and endoscopy findings in Bouveret’s syndrome. AJR Am. J. Roentgenol., 2003; 180:1033–1035.

11. Torgerson, S. A., Greening, G. K., Juniper, K., Farrell, R. L. Gallstone obstruction of duodenal cap( Bouverets syndrome) diagnosed by endoscopy. Am. J. Gastroenterol., 1979, 72: 165–167.

12. Patel, N. M., Lo, A., Bobowski, S. L. Gastric outlet obstruction secondary to gallstone ( Bouverets syndrome). J. Clin. Gastroenterol., 1985; 7: 277–280.

13. Holl, J., Sackmann, M., Hoffman, R., Schssler, P., Sauerbruch, T., Junost, D. Shockwave therapy of gastric outlet syndrome caused by gallstone. Gastroenterology, 1989; 97: 472–474.

14. Domagk, D., Lenz, P., Wulfing, C., Pohle, T., Domschke, W., Kucharzik, T. Duodenum – Successful Treatment of Bouveret‘s Syndrome Using Holmium YAG Laser Lithotripsy. The DAVE Project. Retrieved Dec, 4, 2008, Dostupný na

15. Chralambous Ch. P., Midwinter, M., Bancewicz, J. Unusual Presentation og Bouverets syndrome. Journal of Gastroenterology, 2022; 7: 476–478.

16. Redding, M. E., Anagnostopoulos, C. E., Wright, H. K. Cholecystopyloric fistula with gastric outlet obstruction. Ann. Surg., 1972; 176: 210–212.

17. Charalambous Ch. P., Midwinter M, Bancewicz J. Unusual presentation of Bouverets syndrome. J. Gastroenterol., 2002; 37: 476–478.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account