Korean J Hepatobiliary Pancreat Surg.  2012 May;16(2):84-87. 10.14701/kjhbps.2012.16.2.84.

Bouveret's syndrome: a case report and a review of the literature

• Lee W
• Han SS
• Lee SD
• Kim YK
• Kim SH
• Woo SM
• Lee WJ
• Koh YW
• Hong EK
• Park SJ

• KMID: 2083329
• DOI: http://doi.org/10.14701/kjhbps.2012.16.2.84

Abstract

Bouveret's syndrome is a gastric outlet obstruction caused by an impacted gallstone that passes through a cholecysto-gastric or cholecysto-duodenal fistula. An elderly woman visited a local clinic with nausea and abdominal pain. Abdominal computed tomography revealed a stone that was impacted in the duodenal lumen and a fistula between the gallbladder and duodenum. Malignancy could not be excluded due to the mass in the cystic duct showing enhancement and the presence of enlarged lymph nodes on computed tomography, and increased fludeoxyglucose uptake in the cystic duct on positron emission tomography. The patient underwent simultaneous cholecystectomy, segmental duodenectomy and gastro-jejunostomy. Pathological examination exhibited chronic inflammation and no primary cancer of the gallbladder and fistula.

Keyword

Bouveret's syndrome; Cholecysto-duodenal fistula; Gallstone ileus

MeSH Terms

Abdominal Pain
Aged
Cholecystectomy
Cystic Duct
Duodenum
Female
Fistula
Gallbladder
Gallbladder Neoplasms
Gallstones
Gastric Outlet Obstruction
Humans
Inflammation
Lymph Nodes
Nausea
Positron-Emission Tomography

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