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KMID : 1143920210250010139
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Annals of Hepato-Biliary-Pancreatic Surgery
2021 Volume.25 No. 1 p.139 ~ p.144
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Bouveret syndrome: A series of cases that illustrates a rare complication of chronic cholelithiasis
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Runyan Brianne
Caparelli Michael L.
Batey Jason
Allamaneni Shyam
Perlman Steven
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Abstract
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Bouveret syndrome is defined as gastric outlet obstruction secondary to the impaction of a large gallstone in the proximal gastrointestinal tract. The obstruction occurs as result of a bilio-enteric or bilio-gastric fistula. This clinical entity is a rare variant of the more commonly recognized gallstone ileus, which tends to cause small bowel obstruction of the terminal ileum. The typical presentation of Bouveret syndrome consists of nausea, vomiting and abdominal pain secondary to obstruction. Diagnosis often requires radiographic imaging with computed tomography, which typically shows pneumobilia or a cholecystoduodenal fistula. Herein is a series consisting of three cases of Bouveret syndrome involving a bilioenteric, cholecystoduodenal, and choledochoduodenal fistula, respectfully, all of which required operative management. A discussion of the current literature regarding management of this rare syndrome follows.
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KEYWORD
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Cholecystoduodenal fistula, Gallstone ileus, Obstruction
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