Cholecystoduodenal Fistula Leading to Bouveret Syndrome: A Case Report
Main Article Content
Abstract
Bouveret syndrome is a rare cause of proximal gastrointestinal tract obstruction caused by the impaction of a gallstone migrating through a bilioenteric fistula, with the cholecystoduodenal fistula being the most common route. We present the case of a 76-year-old female patient with a history of chronic cholelithiasis who consulted due to nausea, persistent vomiting, epigastric pain, and early satiety. Imaging studies, including computed tomography (CT) and upper gastrointestinal endoscopy, revealed a large gallstone impacted in the second portion of the duodenum and a cholecystoduodenal fistula. Due to the size of the stone and failure of endoscopic extraction, surgical management was chosen, consisting of cholecystectomy, fistula closure, and stone removal, with favorable postoperative evolution. This case highlights the importance of early diagnosis and individualized management in Bouveret syndrome associated with cholecystoduodenal fistula to improve the prognosis of this rare but potentially serious condition.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Al-Kawas, F. H., & Al-Qasabi, M. (2007). Bouveret syndrome: a rare cause of gastric outlet obstruction. World Journal of Gastroenterology, 13(40), 5437–5439. https://doi.org/10.3748/wjg.v13.i40.5437
II. Cappell, M. S., & Davis, M. (2006). Characterization of Bouveret’s syndrome: a comprehensive review of 128 cases. The American Journal of Gastroenterology, 101(9), 2139–2146.
https://doi.org/10.1111/j.1572-0241.2006.00669.x
III. Chowbey, P., Bandyopadhyay, S. K., Sharma, A., Khullar, R., Soni, V., & Baijal, M. (2006). Laparoscopic management of gallstone ileus. Journal of Laparoendoscopic & Advanced Surgical Techniques, 16(5), 467–472.
https://doi.org/10.1089/lap.2006.16.467
IV. De Palma, G. D., Rega, M., Masone, S., & Persico, F. (2014). Gallstone ileus and Bouveret syndrome: state of the art and new perspectives. World Journal of Gastrointestinal Surgery, 6(7), 146–152. https://doi.org/10.4240/wjgs.v6.i7.146
V. Halabi, W. J., Kang, C. Y., Ketana, N., et al. (2014). Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Annals of Surgery, 259(2), 329–335.
https://doi.org/10.1097/SLA.0000000000000288
VI. Huang, C. Y., & Chou, C. K. (2013). Endoscopic management of Bouveret syndrome: a review of the literature and a case report. Gastroenterology Research and Practice, 2013, 913236.
https://doi.org/10.1155/2013/913236
VII. Lassandro, F., Gagliardi, N., Scaglione, M., et al. (2004). Gallstone ileus analysis of radiological findings in 27 patients. European Journal of Radiology, 50(1), 23–29.
https://doi.org/10.1016/j.ejrad.2003.08.008
VIII. Lillie, J., & Duffy, A. (2019). Bouveret syndrome: a rare form of gastric outlet obstruction caused by gallstones. BMJ Case Reports, 12(5), e228997. https://doi.org/10.1136/bcr-2019228997
IX. Maloney, W. J., & Shrier, D. (2003). Bouveret syndrome: a case report and review of the literature. Journal of Emergency Medicine, 25(1), 21–24. https://doi.org/10.1016/S07364679(03)00142-3
X. Mosier, J. M., & Zihlif, M. (2012). Gallstone ileus: diagnosis and management. Surgical Clinics of North America, 92(5), 1169–1178.
https://doi.org/10.1016/j.suc.2012.07.004
XI. Reisner, R. M., & Cohen, J. R. (1994). Gallstone ileus: a review of 1001 reported cases. The American Surgeon, 60(6), 441–446.
XII. Rodríguez-Sanjuán, J., Casado, F., Moya, M., et al. (1997). Surgical management of gallstone ileus: report of 15 cases. Digestive Surgery, 14(3), 208–213. https://doi.org/10.1159/000200254
XIII. Singh, A. K., & Yadav, S. (2020). Bouveret syndrome: an unusual cause of gastric outlet obstruction. Journal of Family Medicine and Primary Care, 9(5), 2523–2525.