BOUVERET’S SYNDROME – A RARE CAUSE OF INTESTINAL OBSTRUCTION

Authors

  • Urânia FERNANDES General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0001-7741-877X
  • Gonçalo GUIDI General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0003-3564-1468
  • Daniela MARTINS General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0003-3189-4599
  • Rita MARQUES General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0002-7267-6443
  • Herculano MOREIRA General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0002-4969-319X
  • João PINTO-DE-SOUSA General Surgery Department, Hospital Center of Trás-Os-Montes and Alto Douro (CHTMAD), Clinical Academic Centre of Trás-os-Montes and Alto Douro (CACTMAD); Portugal http://orcid.org/0000-0001-6634-9756

DOI:

https://doi.org/10.34635/rpc.818

Keywords:

gallstone, ileus, 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

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Published

2023-06-23

Issue

No. 55 (2023): June

Section

Clinical Case

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