Two Sites of Obstruction with Gallstones: A Case Report of Bouveret Syndrome with a Concurrent Biliary Ileus

Bouveret syndrome is a gastric outlet obstruction, and biliary ileus is an obstruction of the small bowel, and both are caused by a gallstone that escaped the gallbladder through a bilio-enteric fistula. The concurrent occurrence of obstruction at both sites is encountered very rarely, and only two...

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Bibliographic Details
Published in:Case reports in surgery 2023-07, Vol.2023, p.9664165-3
Main Authors: Bergeron, Eric, Pichette, Maude
Format: Article
Language:English
Subjects:
Abdomen
Apixaban
Calculi
Case Report
Case reports
Cholecystectomy
Duodenum
Emergency medical care
Endoscopy
Fistula
Gallbladder
Gallstones
Intestinal obstruction
Intestines
Jejunum
Medical imaging
Obstructions
Older people
Ostomy
Patients
Small intestine
Stomach
Stone
Surgery
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Summary:Bouveret syndrome is a gastric outlet obstruction, and biliary ileus is an obstruction of the small bowel, and both are caused by a gallstone that escaped the gallbladder through a bilio-enteric fistula. The concurrent occurrence of obstruction at both sites is encountered very rarely, and only two such cases associated with Bouveret syndrome were reported before. We now present a case involving a 78-year-old female with simultaneous obstruction at both the duodenum and jejunum. The literature is reviewed to evaluate the incidence of such a situation and to discuss the management of the case.
ISSN:2090-6900
2090-6919
DOI:10.1155/2023/9664165