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Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation

Year: 2026

Type: article

Abstract: Bouveret syndrome is a rare cause of gastric outlet obstruction due to gallstone migration through a bilioenteric fistula. We present a 76-year-old woman with multiple comorbidities who developed Bouveret syndrome and was treated with endoscopic holmium laser lithotripsy. Although the obstructing stone was successfully fragmented and removed, the patient later developed a jejunal perforation. She was ultimately transitioned to hospice care. To our knowledge, jejunal perforation after endoscopic laser lithotripsy for Bouveret syndrome has not been previously reported. This case highlights a rare but serious complication of minimally invasive endoscopic management, particularly in high-risk patients with large stones.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000002372

Authors: Meghana N. Vankina, Jayaprakash Sreenarasimhaiah

Institutions: Tulane University, Baylor Scott & White Health

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: American College of Gastroenterology