Surgical Strategy in Bouveret's Syndrome: Report of a Case With One-Stage Surgery
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Updated: May 6, 2026

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III
Published on: February 27, 2009
Keiji Nagata1, Takahisa Fujikawa1
1Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Abstract:
Bouveret's syndrome is a rare condition caused by a gallstone that impacts the duodenum via a cholecystoduodenal fistula and obstructs the gastric outlet. Despite its high mortality rate, the treatment strategy for Bouveret's syndrome is debatable and frequently challenging. The main issue is whether cholecystectomy and fistula repair following stone extraction should be performed concurrently with one-stage surgery. We present a case of Bouveret's syndrome that was treated with one-stage surgery using a bailout procedure.
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