Bouveret's syndrome: a case report and a review of the literature.
10.14701/kjhbps.2012.16.2.84
- Author:
Woohyung LEE
1
;
Sung Sik HAN
;
Seung Duk LEE
;
Young Kyu KIM
;
Seong Hoon KIM
;
Sang Myung WOO
;
Woo Jin LEE
;
Young Whan KOH
;
Eun Kyung HONG
;
Sang Jae PARK
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Bouveret's syndrome;
Cholecysto-duodenal fistula;
Gallstone ileus
- MeSH:
Abdominal Pain;
Aged;
Cholecystectomy;
Cystic Duct;
Duodenum;
Female;
Fistula;
Gallbladder;
Gallbladder Neoplasms;
Gallstones;
Gastric Outlet Obstruction;
Humans;
Inflammation;
Lymph Nodes;
Nausea;
Positron-Emission Tomography
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2012;16(2):84-87
- CountryRepublic of Korea
- Language:English
-
Abstract:
Bouveret's syndrome is a gastric outlet obstruction caused by an impacted gallstone that passes through a cholecysto-gastric or cholecysto-duodenal fistula. An elderly woman visited a local clinic with nausea and abdominal pain. Abdominal computed tomography revealed a stone that was impacted in the duodenal lumen and a fistula between the gallbladder and duodenum. Malignancy could not be excluded due to the mass in the cystic duct showing enhancement and the presence of enlarged lymph nodes on computed tomography, and increased fludeoxyglucose uptake in the cystic duct on positron emission tomography. The patient underwent simultaneous cholecystectomy, segmental duodenectomy and gastro-jejunostomy. Pathological examination exhibited chronic inflammation and no primary cancer of the gallbladder and fistula.
