Surgical Duodenotomy Following Untreated Bouveret Syndrome

Bouveret syndrome is caused by the impaction of a gallstone into the duodenum through a cholecystoduodenal fistula. This is typically followed by pyloric obstruction via retrograde migration of the stone, as opposed to anterograde migration, which can result in gallstone ileus. Bouveret syndrome usu...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2019-06, Vol.11 (6), p.e4866
Main Authors: Hanandeh, Adel, Allamaneni, Shyam, Shikhman, Alex
Format: Article
Language:English
Subjects:
Abdomen
Case reports
Edema
Endoscopy
Fistula
Gallbladder
Gallstones
Gastroenterology
General Surgery
Hospitals
Inflammation
Medical imaging
Pain
Stomach
Surgery
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Description
Summary:Bouveret syndrome is caused by the impaction of a gallstone into the duodenum through a cholecystoduodenal fistula. This is typically followed by pyloric obstruction via retrograde migration of the stone, as opposed to anterograde migration, which can result in gallstone ileus. Bouveret syndrome usually presents with nausea, vomiting, and abdominal pain. Pneumobilia is seen on radiographic imaging. Herein, we describe a case of Bouveret syndrome where the diagnosis and treatment were delayed due to the initial patient desire for surgical intervention. Ultimately, duodenotomy was performed after several failed attempts of endoscopic stone extraction.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.4866