Work

Bouveret syndrome in 2 parts: endoscopic removal of residual cholelithiasis with closure of cholecystoduodenal fistula after initial surgical management

Year: 2024

Type: article

Abstract: A 69-year-old woman with no medical history presented to the emergency department with 1 week of nausea, vomiting, and anorexia. A CT examination of the abdomen and pelvis demonstrated an obstructing 3.3-cm jejunal gallstone and a separate fistulous connection between the gallbladder and the first portion of the duodenum (Figs. 1 and 2). Because of the patient’s urgent clinical presentation with severe abdominal pain, hypotension, and electrolyte derangement, emergent exploratory laparotomy and jejunal gallstone removal were performed; the GI department was not initially consulted.

Source: VideoGIE

DOI: 10.1016/j.vgie.2024.11.005

Authors: Nicholas A. Cumpian, Pradeep R. Atla, Hawwa Alao, Viktor Eysselein, Sofiya Reicher

Institutions: University of California, Los Angeles, Harbor–UCLA Medical Center

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: gold

Estimated APC paid: $1,000