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Updated: Jul 6, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Bouveret syndrome associated with acute gangrenous cholecystitis
Cornel Iancu1, Raluca Bodea, Nadim Al Hajjar
13rd Surgical Clinic Cluj-Napoca, Iuliu Hatieganu University of Medicine and Pharmacy, Str. Croitorilor nr. 19-21, 400162, Cluj-Napoca, Romania. dr_cornel_iancu@yahoo.com
Abstract:
An 89-year-old patient was hospitalized with signs of acute lithiasic cholecystitis and gastric emptying failure. The decision for surgery was taken and a subhepatic block was evidenced, caused by a perforated gangrenous cholecystitis with pericholecystic abscess, a cholecysto-antroduodenal fistula with two gallstones, 9/5 and 4/3 cm in size, impacted in the duodenum. It was necessary to perform an Y-en-Roux antroduodenojejunal anastomosis because an antroduodenal parietal defect resulted after the removal of the gangrenous gallbladder. The immediate and long term postoperative evolution in terms of anastomosis functionality was good.
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