Bouveret Syndrome: A Rare Form of Gallstone Ileus

Division

Capital

Hospital

LewisGale Medical Center

Document Type

Case Report

Publication Date

3-22-2021

Keywords

bouveret's syndrome, gallstone ileus

Disciplines

Digestive System Diseases | Internal Medicine

Abstract

Bouveret’s syndrome is a rare variant of gallstone ileus characterized by a gastric outlet obstruction due to the impaction of a gallstone lodged in the duodenum, resulting from a cholecystoduodenal fistula. It accounts for only one to three percent of cases of gallstone ileus. We examine a case of Bouveret syndrome in an elderly Japanese female who presented with vomiting and decreased oral intake. Subsequent imaging found a gallstone ileus due to a bilioduodenal fistula. She underwent exploratory laparotomy enterolithotomy which found a large black gallstone located in the small bowel and confirmed the presence of the fistula. Despite its relative rarity, Bouveret syndrome carries a high risk of morbidity and mortality.

Publisher or Conference

Cureus

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