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Bouveret syndrome: A case report.

Fei Wang1, Zhi-Qiang Du2, Yi-Lan Chen1

  • 1Department of Gastroenterology, People's Hospital of Jianyang City, Jianyang 641400, Sichuan Province, China.

World Journal of Clinical Cases
|December 14, 2019
PubMed
Summary

Bouveret syndrome, a rare gallstone complication, requires prompt treatment. This case highlights successful surgical management after failed endoscopy, preventing mortality.

Keywords:
Bouveret syndromeCase reportGallstonesIntestinal obstruction

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Bouveret syndrome is a rare complication of cholelithiasis, with limited reported cases.
  • Delayed diagnosis of Bouveret syndrome is linked to increased mortality rates.

Observation:

  • A 61-year-old female presented with epigastric pain, initially diagnosed with gastrolithiasis.
  • Endoscopy revealed food residue, stones, and ulcers; CT confirmed Bouveret syndrome.

Findings:

  • Initial endoscopic treatment for Bouveret syndrome was unsuccessful.
  • A one-step surgical approach involving cholecystectomy, duodenal stone extraction, and fistula repair proved effective.

Implications:

  • Bouveret syndrome necessitates timely endoscopic or surgical intervention.
  • Successful surgical management can lead to symptom resolution and prevent mortality.