BOUVERET’S SYNDROME – A RARE CAUSE OF INTESTINAL OBSTRUCTION
Abstract
This report is about a clinical case of Bouveret’s Syndrome (BS), a gastric outlet obstruction by a gallstone. It is rare and often a delayed diagnosis in elderly women with comorbidities. These factors contribute to a relevant morbidity and mortality, underlying the importance of an adequate and timely treatment. Its inespecific simptoms makes a high clinical suspicion essential. In the presence of Rigler’s triad the plain abdominal X-ray is diagnostic in one third of the cases but the diagnosis is generally made by CT-scan or esophagogastrosduodenoscopy. This one is often attempted first but surgery is almost always needed. Enterolithotomy/gastrotomy can be complemented by cholecystectomy in a one or two-stage surgery. The most definitive surgical procedures should be restricted for patients in the best physiological conditions.
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References
2. Gavrila D, Galusca C, Berbecel M, Boros M, Dumitrascu T. Bouveret Syndrome - An Exceptional Complication of a Very Frequent Disease. Chirurgia (Bucur). 2016;111(3):283-5. https://www.revistachirurgia.ro/pdfs/2016-3-283.pdf
3. Ploneda-Valencia CF, Gallo-Morales M, Rinchon C, Navarro-Muniz E, Bautista-Lopez CA, de la Cerda-Trujillo LF, et al. Gallstone ileus: An overview of the literature. Revista de gastroenterologia de Mexico. 2017;82(3):248-54. http://www.sciencedirect.com/science/article/pii/S0375090617300137
4. Gallego Otaegui L, Sainz Lete A, Gutierrez Rios RD, Alkorta Zuloaga M, Arteaga Martin X, Jimenez Aguero R, et al. A rare presentation of gallstones: Bouveret s syndrome, a case report. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 2016;108(7):434-6. http://scielo.isciii.es/pdf/diges/v108n7/imagenes3.pdf
5. Qasaimeh GR, Bakkar S, Jadallah K. Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature. International surgery. 2014;99(6):819-23. https://www.internationalsurgery.org/doi/10.9738/INTSURG-D-14-00087.1
6. Reinhardt SW, Jin LX, Pitt SC, Earl TM, Chapman WC, Doyle MBJJoGS. Bouveret's Syndrome Complicated by Classic Gallstone Ileus: Progression of Disease or Iatrogenic? 2013;17(11):2020-4. https://link.springer.com/article/10.1007/s11605-013-2301-7
7. Nickel F, Muller-Eschner MM, Chu J, von Tengg-Kobligk H, Muller-Stich BP. Bouveret's syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy. BMC surgery. 2013;13:33. https://doi.org/10.1186/1471-2482-13-33
8. Scuderi V, Adamo V, Naddeo M, Di Natale W, Boglione L, Cavalli S. Gallstone ileus: monocentric experience looking for the adequate approach. Updates in surgery. 2018;70(4):503-11. https://link.springer.com/article/10.1007%2Fs13304-017-0495-z
9. Dumonceau JM, Deviere J. Novel treatment options for Bouveret's syndrome: a comprehensive review of 61 cases of successful endoscopic treatment. Expert review of gastroenterology & hepatology. 2016;10(11):1245-55. https://doi.org/10.1080/17474124.2016.1241142
10. Halabi WJ, Kang CY, Ketana N, Lafaro KJ, Nguyen VQ, Stamos MJ, et al. Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Annals of surgery. 2014;259(2):329-35. https://journals.lww.com/annalsofsurgery/Abstract/2014/02000/Surgery_for_Gallstone_Ileus__A_Nationwide.20.aspx
