Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome
1Department of Emergency Medicine, Tepecik Educational and Research Hospital, Izmir, Turkey
2Department of Emergency Medicine, Yildirim Beyazit Diskapi Educational and Research Hospital, Ankara, Turkey
3Department of Emergency Medicine, Ankara Numune Educational and Research Hospital, Ankara, Turkey
Online publish date: 29 June 2020
Bouveret’s syndrome is defined as gastrointestinal obstruction due to an impacted gallstone secondary to biliary-enteric fistula. This is often observed with nonspecific symptoms such as epigastric pain, nausea, and vomiting. The diagnosis is made by visualization of pneumobilia, gastric outlet obstruction and ectopic gallstone. In this report, we discussed an elderly patient who was admitted to the emergency department with abdominal pain and vomiting without any signs of bowel obstruction in plain x-ray and ultrasound imaging. We aimed to remind the importance of clinical suspicion and the diagnostic value of computed abdominal tomography for emergency physicians.
Abdominal pain, Bouveret’s syndrome, Computed tomography, Elderly, Emergency department
Savas Sezik,Mustafa Sever,Nezih Kavak,Ahmet Burak Erdem. Gastric Outlet Obstruction Due to Cholecysto-Gastric Fistula: Bouveret’s Syndrome. Signa Vitae. 2020.doi:10.22514/sv.2020.16.0036.
 Brennan GB, Rosenberg RD, Arora S. Bouveret Syndrome. Radio-graphics. 2004;24:1171-1175.
 Arioli D, Venturini I, Masetti M, et al. Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of Bouveret’s syndrome. World J Gastroenterol. 2008;14:125-128.
 Matur R, Yucel T, Gurdal SO, et al. Bouveret Sendromu: Safra Tasına Baglı Mide Çıkıs Obstruksiyonu. Ulus Travma Derg. 2002;8:179-182.
 Petrowsky H., Pierre-A.C. “Biliary fistula, gallstone ileus and Mirizzi’s syndrome” In: Clavien P.A., Baillie J. Disease of the gallbladder and bile ducts: Diagnosis and treatment; 2006. p. 239-48.
 Martínez Ramos D, Daroca José JM, Escrig S, et al. Gallstone ileus: management options and results on a series of 40 patients. Rev Esp Enferm Dig. 2009;101:117-124.
 Gajendran M, Muniraj T, Gelrud A. A challenging case of gastric outlet obstruction (Bouveret’s syndrome): A case report. J Med Case Rep. 2011;4: 497.
 Yakan S, Engin Ö. Gallstone ileus as an unexpected complication of cholelithiasis: diagnostic difficulties and treatment. Ulus Travma Acil Cerrahi Derg. 2010;16:344-348.
 Pickhardt PJ, Friedland JA, Hruza DS, et al. CT, MR cholangiopan-creatography, and endoscopy findings in Bouveret’s syndrome. Am J Roentgenol. 2003;180:1033-1035.
 Doycheva I, Limaye A, Suman A, et al. Bouveret’s syndrome: Case report and review of the literature. Gastroenterol Res Pract. 2009;2009:914-951.
 David Q.-H. Wang and Nezam H. Afdhal. Section VIII: Bil-iary Tract. Chapter 65: Gallstone Disease. In: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. Pathophysiol-ogy/Diagnosis/Management. Eds.: Feldman M, Friedman LS, Brandt LJ. E-Book. 9th Ed. Saunders-Elsevier. Pp: 1089-1119.
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