Work

Concurrent Bouveret's Syndrome and Gallstone Ileus: A Rare Case of Dual-Site Obstruction in Gallstone Disease

Year: 2025

Type: article

Abstract: Bouveret's syndrome is a rare cause of gastric outlet obstruction, resulting from gallstone migration into the duodenum via a biliary-enteric fistula. Even rarer is its coexistence with distal gallstone ileus. We report the case of an elderly woman presenting with gastric outlet obstruction who was found to have dual-site obstruction caused by two impacted gallstones. Despite multidisciplinary management involving imaging, endoscopy, and surgery, her postoperative course was complicated by sepsis and multiorgan failure, leading to death. This case underscores the severe morbidity and mortality associated with advanced gallstone disease in elderly patients with comorbidities and highlights the challenges in timely diagnosis and treatment.

Source: Cureus

DOI: 10.7759/cureus.90990

Authors: Abhilash Mesh, Ahmed Aly, Mohammed Elmorsy, Gayan Nanayakkara

Institution: Withybush General Hospital

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: W4413611879