About this Journal Submit a Manuscript Table of Contents
Case Reports in Surgery
Volume 2013 (2013), Article ID 839370, 6 pages
http://dx.doi.org/10.1155/2013/839370
Case Report

Bouveret Syndrome—The Rarest Variant of Gallstone Ileus: A Case Report and Literature Review

1st Surgical Department, Sismanogleio General Hospital of Attica, 15126 Athens, Greece

Received 20 May 2013; Accepted 15 June 2013

Academic Editors: M. Gorlitzer and K. Reavis

Copyright © 2013 Vasileios K. Mavroeidis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case report of a patient with Bouveret syndrome with interesting radiological findings and successful surgical treatment after failure of the endoscopic techniques. The report is followed by a review of the literature regarding the diagnostic means and proper treatment of this rare entity. Bouveret syndrome refers to the condition of gastric outlet obstruction caused by the impaction of a large gallstone into the duodenum after passage through a cholecystoduodenal fistula. Many endoscopic and surgical techniques have been described in the management of this syndrome. This is a case of a 78-year-old patient with severe medical history who presented in bad general condition with an 8-day history of nausea, multiple bilious vomiting episodes, anorexia, discomfort in the right hypochondrium and epigastrium, and fever up to 38,5°C. The diagnosis of Bouveret syndrome was set after performing the proper imaging studies. An initial endoscopic effort to resolve the obstruction was performed without success. Surgical treatment managed to extract the impacted gallstone through an enterotomy after removal into the first part of the jejunum.