Year: 2025
Type: article
Study design: Case Report
Abstract: Cholelithiasis is a common condition, and complications of gallstone disease include cholecystitis, cholangitis, pancreatitis, and, rarely, gallstone ileus or Bouveret syndrome. We present a case of a 79-year-old male with multiple comorbidities who was treated using endoscopic techniques to avoid the risks associated with surgery. The approach utilized holmium laser lithotripsy and electrohydraulic lithotripsy over multiple sessions to fragment and remove the large gallstone causing a duodenal obstruction. Conservative management of a subsequent duodenal perforation led to successful recovery. This case highlights the potential for endoscopic methods to manage gallstone ileus in high-risk patients, reducing complications and potentially avoiding surgery.
Source: Cureus
DOI: 10.7759/cureus.78412
Authors: Caleb M Glover, Ali Rida, Edward Cay, Gisela Ocasio, Eugene Zolotarevsky
Institutions: McLaren Greater Lansing, Corewell Health
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407103521