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Bouveret's syndrome: case report and review of the literature.

Doycheva I, Limaye A, Suman A, Forsmark CE, Sultan S - Gastroenterol Res Pract (2009)

Bottom Line: Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula.Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable.We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Hepatology, and Nutrition, College of Medicine, University of Florida, Gainesville, FL 32611, USA.

ABSTRACT
Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable. We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.

No MeSH data available.


Related in: MedlinePlus

A gallstone in the duodenum and a distended stomach was seen on CT scan.
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fig1: A gallstone in the duodenum and a distended stomach was seen on CT scan.

Mentions: On physical exam, patient was in no acute distress, afebrile, and hemodynamically stable. Pertinent findings included mild tenderness to palpation in the epigastric area, an audible succession splash and normal bowel sounds. His liver enzymes, electrolytes, and creatinine level were all within normal limits. CT of the abdomen revealed pneumobilia, the presence of a biliary stent, a distended stomach and a 3.3 cm hypodense oval object in the second portion of the duodenum suggestive of Bouveret's Syndrome (Figure 1).


Bouveret's syndrome: case report and review of the literature.

Doycheva I, Limaye A, Suman A, Forsmark CE, Sultan S - Gastroenterol Res Pract (2009)

A gallstone in the duodenum and a distended stomach was seen on CT scan.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2666152&req=5

fig1: A gallstone in the duodenum and a distended stomach was seen on CT scan.
Mentions: On physical exam, patient was in no acute distress, afebrile, and hemodynamically stable. Pertinent findings included mild tenderness to palpation in the epigastric area, an audible succession splash and normal bowel sounds. His liver enzymes, electrolytes, and creatinine level were all within normal limits. CT of the abdomen revealed pneumobilia, the presence of a biliary stent, a distended stomach and a 3.3 cm hypodense oval object in the second portion of the duodenum suggestive of Bouveret's Syndrome (Figure 1).

Bottom Line: Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula.Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable.We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Hepatology, and Nutrition, College of Medicine, University of Florida, Gainesville, FL 32611, USA.

ABSTRACT
Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable. We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition.

No MeSH data available.


Related in: MedlinePlus