Bouveret Syndrome in a Cirrhotic Patient

Area of Science:

• Gastroenterology and Hepatology
• Surgical Gastroenterology

Background:

• Bouveret syndrome is a rare condition characterized by gallstone impaction in the duodenum or stomach, often associated with a chole-enteric fistula.
• It predominantly affects elderly patients with significant comorbidities, leading to high rates of morbidity and mortality.
• The rarity and specific patient demographic for Bouveret syndrome mean there are no established diagnostic or management guidelines.

Observation:

• This case report details a patient with liver cirrhosis presenting with Bouveret syndrome.
• The patient had a chole-enteric fistula, a common underlying pathology for this syndrome.
• The clinical course highlights the challenges in managing this rare condition in a complex patient.

Findings:

• The case illustrates the diagnostic and therapeutic difficulties posed by Bouveret syndrome in patients with advanced liver disease.
• Management options for Bouveret syndrome are discussed in the context of the patient's comorbidities.
• The report emphasizes the need for individualized treatment approaches.

Implications:

• This case underscores the importance of considering Bouveret syndrome in patients with upper gastrointestinal obstruction and a history of gallstones, especially those with comorbidities.
• Further research into standardized management protocols for Bouveret syndrome in high-risk populations is warranted.
• Understanding the interplay between cirrhosis and Bouveret syndrome can improve patient outcomes.