Exploring the Diagnosis and Management of Bouveret's Syndrome

  • Mukul Bhattarai Geisinger Health System, 100 N Academy Ave, Danville, PA 17822, United States.
  • Pardeep Bansal Geisinger Health System, 100 N Academy Ave, Danville, PA 17822, United States.
  • Bharat Patel Regional Hospital of Scranton, 746 Jefferson Ave Scranton, PA 18510, United States.
  • Alexander Lalos Regional Hospital of Scranton, 746 Jefferson Ave Scranton, PA 18510, United States.
Keywords: Bouveret’s syndrome; cholelithiasis; enterolithotomy; Gallstone ileus.

Abstract

Bouveret’s syndrome is an unusual cause of gastric outlet obstruction secondary to gallstone impaction. It is so rare that it is commonly missed in clinical practice if it is not considered in differential diagnoses of intestinal obstruction more specifically in man who does not report the history of gall stone. Furthermore, there are no definitive guidelines on approach and management of this condition. We present a seventy eight year old man who developed acute abdominal symptoms due to impaction of a gallstone in the duodenum. He did not have history of gall stone. The diagnosis was supported via CT abdomen and Endoscopy. The patient was successfully managed by exploratory laparotomy followed by anterior pylorotomy to remove the stone without cholecystectomy and fistula repair. 
Keywords: Bouveret’s syndrome; cholelithiasis; enterolithotomy; Gallstone ileus. | PubMed

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Published
2016-03-31
How to Cite
Bhattarai, M., Bansal, P., Patel, B., & Lalos, A. (2016). Exploring the Diagnosis and Management of Bouveret’s Syndrome. Journal of Nepal Medical Association, 54(201), 33-35. https://doi.org/10.31729/jnma.2814
Section
Case Reports