Work

Bouveret’s Syndrome: A Diagnostic and Therapeutic Approach to an Unusual Complication of Cholelithiasis

Year: 2024

Type: article

Abstract: Bouveret's syndrome is a rare form of bowel obstruction caused by the impaction of a large gallstone through a cholecystoduodenal fistula, leading to gastric outlet obstruction. This article aims to highlight the clinical presentation and management of this syndrome, given its low incidence and high mortality rate of 12% to 30%. We present the case of an 83-year-old patient with a history of diabetes and hypertension who presented with abdominal pain, distension, and vomiting. Computed tomography revealed duodenal obstruction due to a large gallstone. A diagnostic laparotomy was performed, allowing for the removal of the stone through enterotomy. The patient had an uncomplicated recovery and was discharged on the seventh day of hospitalization. Early diagnosis and effective management are crucial, with endoscopy as the preferred initial treatment, although surgery may be necessary if endoscopy fails. Tailoring the treatment to the patient's condition is essential to improving outcomes and reducing associated mortality.

Source: Cureus

DOI: 10.7759/cureus.71046

Authors: Nora Lis Flores-Olmos, Francisco Javier Hernández Álvarez, Daniel Alejandro Gamón Briseño, Rocio del Carmen Prieto Ramos, Ricardo Frausto Luján

Institutions: Institute for Social Security and Services for State Workers, Hospital General Dr Aurelio Valdivieso

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403235276