TY - JOUR
T1 - Bouveret’s syndrome and cholecystogastric fistula
T2 - a case-report and review of the literature
AU - Osman, Karim
AU - Maselli, Daniel
AU - Kendi, Ayse Tuba
AU - Larson, Mark
N1 - Publisher Copyright:
© 2020, Japanese Society of Gastroenterology.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - An exceptionally rare cause of gastric outlet obstruction, Bouveret’s syndrome results from proximal impaction of an ectopic gallstone, enabled by fistulization that aberrantly connects the biliary and luminal gastrointestinal tract, typically a cholecystoduodenal fistula. It occurs with a 2:1 female predominance, most often in the eighth decade of life. Endoscopic treatment is the preferred first-line strategy in management, followed by surgical intervention if unsuccessful. Endoscopy failed to retrieve the stone due to its size, despite attempted lithotripsy, which prompted laparoscopic retrieval. Bouveret’s syndrome compels a high index of suspicion in proximal gastrointestinal obstruction even when presenting in a male a decade younger than the median age of diagnosis (74 years), with no preceding biliary symptoms particularly as early intervention can considerably reduce morbidity and mortality.
AB - An exceptionally rare cause of gastric outlet obstruction, Bouveret’s syndrome results from proximal impaction of an ectopic gallstone, enabled by fistulization that aberrantly connects the biliary and luminal gastrointestinal tract, typically a cholecystoduodenal fistula. It occurs with a 2:1 female predominance, most often in the eighth decade of life. Endoscopic treatment is the preferred first-line strategy in management, followed by surgical intervention if unsuccessful. Endoscopy failed to retrieve the stone due to its size, despite attempted lithotripsy, which prompted laparoscopic retrieval. Bouveret’s syndrome compels a high index of suspicion in proximal gastrointestinal obstruction even when presenting in a male a decade younger than the median age of diagnosis (74 years), with no preceding biliary symptoms particularly as early intervention can considerably reduce morbidity and mortality.
KW - Bouveret’s syndrome
KW - Gallstones
KW - Gastric outlet obstruction
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U2 - 10.1007/s12328-020-01114-7
DO - 10.1007/s12328-020-01114-7
M3 - Article
C2 - 32232771
AN - SCOPUS:85082823829
SN - 1865-7257
VL - 13
SP - 527
EP - 531
JO - Clinical Journal of Gastroenterology
JF - Clinical Journal of Gastroenterology
IS - 4
ER -