Cholecystoduodenal Fistula Leading to Bouveret Syndrome: A Case Report
Year: 2025
Type: article
Abstract: Bouveret syndrome is a rare cause of proximal gastrointestinal tract obstruction caused by the impaction of a gallstone migrating through a bilioenteric fistula, with the cholecystoduodenal fistula being the most common route. We present the case of a 76-year-old female patient with a history of chronic cholelithiasis who consulted due to nausea, persistent vomiting, epigastric pain, and early satiety. Imaging studies, including computed tomography (CT) and upper gastrointestinal endoscopy, revealed a large gallstone impacted in the second portion of the duodenum and a cholecystoduodenal fistula. Due to the size of the stone and failure of endoscopic extraction, surgical management was chosen, consisting of cholecystectomy, fistula closure, and stone removal, with favorable postoperative evolution. This case highlights the importance of early diagnosis and individualized management in Bouveret syndrome associated with cholecystoduodenal fistula to improve the prognosis of this rare but potentially serious condition.
Authors: Erandeni Rubio Mejía, Jesus Martin Cerda Murguia, Diana Camila Soto Sánchez, Moisés Jesús Cervantes Mejía, Gabriela Valeria Vázquez Juárez, Luis Fernando Salazar Cervantes, Brenda Aracely Saenz Medina, Juan Pablo Ruíz Alcántara, Lucio Martínez Félix, Jhazeel Porcallo Vargas
Institutions: Universidad Michoacana de San Nicolás de Hidalgo, Institute for Social Security and Services for State Workers, Universidad Popular Autónoma del Estado de Puebla, Universidad Autónoma del Estado de Hidalgo, Instituto Politécnico Nacional, Autonomous University of Durango, Autonomous University of Chihuahua, Benemérita Universidad Autónoma de Puebla, Universidad Autónoma de Guadalajara, Benito Juárez Autonomous University of Oaxaca
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7080506448
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