Bouveret's syndrome: a report of two cases

Introduction Bouveret's syndrome, a rare and clinically challenging condition, is a variant of gall stone ileus caused by impaction of a large gallbladder stone in the duodenum secondary to a cholecystoduodenal fistula. Case presentation We present two cases of duodenal obstruction in old patie...

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Bibliographic Details
Published in:The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah 2016-10, Vol.35 (4), p.456-459
Main Authors: El Sorogy, Mohamed, Hanafy, Ehab, Hamed, Hosam, Atef, Ehab, Rafee, Ahmed, El-Ebeidy, Gamal
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Diagnosis
Gallstones
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Summary:Introduction Bouveret's syndrome, a rare and clinically challenging condition, is a variant of gall stone ileus caused by impaction of a large gallbladder stone in the duodenum secondary to a cholecystoduodenal fistula. Case presentation We present two cases of duodenal obstruction in old patients due to gall stone migration and impaction in the duodenum. Both were treated surgically. Discussion Bouveret's syndrome is a rare variant of gall stone ileus. Risk factors include old age, female sex, large-sized stones, and long history of gall stone disease. Treatment options include extracorporeal shock wave lithotripsy, endoscopy, and surgery. Conclusion Bouveret's syndrome is a clinically challenging diagnosis to make. Although surgical stone extraction remains the classic treatment option with the least failure rates, leaving the fistula alone is associated with the least morbidity and mortality rates.
ISSN:1110-1121
1687-7624
DOI:10.4103/1110-1121.194730