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Bouveret syndrome: two approaches one stone
Vysheki Satchithanandha1, Ngee-Soon Lau1, Ana Galevska1
1Royal Prince Alfred Hospital, 50, Missendon Road, Camperdown, NSW 2050, Australia.
Journal of Surgical Case Reports
|October 19, 2023
Summary
Bouveret syndrome, a rare cause of gastric outlet obstruction from gallstones, presents management challenges. This case highlights potential pitfalls in both endoscopic and surgical treatments for this condition.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Bouveret syndrome is an uncommon cause of gastric outlet obstruction.
- It results from a large gallstone forming a bilioenteric fistula.
Observation:
- A 79-year-old female presented with nausea and vomiting.
- CT scan revealed a duodenal gallstone and cholecystoduodenal fistula causing obstruction.
Findings:
- Endoscopic stone retrieval was unsuccessful.
- Laparotomy with gastrotomy was required for stone extraction.
Implications:
- This case underscores the difficulties in managing Bouveret syndrome.
- It highlights potential pitfalls associated with both endoscopic and open surgical approaches.
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