Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Bouveret syndrome, a rare complication of cholelithiasis, is nonspecific symptoms and high mortality rates, with no established standard treatment. Here, we detail a case of effective endoscopic intervention in an elderly patient. Case Presentation: A 91-year-old female patient who presented with a one-month history of nausea, vomiting, and significant abdominal distension. An abdominal CT scan revealed a biliary-enteric fistula, pneumobilia, gallstones, a calcified mass in the horizontal portion of the duodenum, and gastric dilatation. Endoscopic examination confirmed the presence of a biliary-enteric fistula and a large impacted gallstone in the duodenum. The patient subsequently underwent endoscopic lithotripsy and gallstone extraction, which successfully alleviated her symptoms. Conclusion: The endoscopic management of Bouveret syndrome in elderly patients is both safe and efficacious. Clinicians should maintain suspicion for this uncommon condition when managing cholelithiasis patients presenting with signs of intestinal obstruction, emphasizing the significance of prompt intervention.
Source: JGH Open
DOI: 10.1002/jgh3.70251
Authors: Meng Zhang, Ya‐Nan Sun, Feng Gao, Yong Sun, Wen Jia, Jian‐Feng Huo, Jiang‐Ning Gu, Zhuo Yang
Institution: General Hospital of Shenyang Military Region
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,400
OpenAlex ID: W4412953129