Management of complicated Bouveret's syndrome.

Humans Female Gastric Outlet Obstruction / surgery Gallstones / complications Aged Syndrome
Endoscopy Gastrointestinal surgery Stomach and duodenum

Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
18 Jun 2024
Historique:
medline: 19 6 2024
pubmed: 19 6 2024
entrez: 18 6 2024
Statut: epublish

Résumé

Bouveret's syndrome is an uncommon cause of gastric outlet obstruction caused by the impaction of large gallstones in the duodenal lumen. The gallstones pass into the duodenal lumen through a cholecystogastric or a cholecystoduodenal fistula. Endoscopic retrieval with or without lithotripsy is the first line of management, often with variable success. We present a case of a woman in her 70s who presented with signs of gastric outlet obstruction and was diagnosed with Bouveret's syndrome with a 5 cm diameter gallstone in the third part of her duodenum. Following several unsuccessful attempts of endoscopic extraction, she underwent successful jejunal enterotomy with fragmentation and extraction of the calculus using an Allis tissue holding forceps. Postoperative recovery was uneventful.

Identifiants

DOI: 10.1136/bcr-2024-261232 PMID: 38890110
pubmed: 38890110
pii: 17/6/e261232
doi: 10.1136/bcr-2024-261232
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Priya Ranjan (P)

Gastrointestinal Surgery, Army Hospital (Research and Referral), New Delhi, Delhi, India.

Vijay Chetan Jha (VC)

Gastrointestinal Surgery, Command Hospital (Western Command), Panchkula, Haryana, India.

Prashant Gopal (P)

Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

Debabrata Banerjee (D)

Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India drdbanerjee@gmail.com.
ORCID: 0000-0001-7794-7831

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Management of complicated Bouveret's syndrome.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies de l'estomac › Sténose du défilé gastrique › Management of complicated Bouveret's syndrome.
questionsmedicales.fr › États, signes et symptômes pathologiques › États anatomopathologiques › Calculs › Calculs biliaires › Management of complicated Bouveret's syndrome.
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Management of complicated Bouveret's syndrome.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Maladie › Syndrome › Management of complicated Bouveret's syndrome.