Bouveret Syndrome: A Rare Case and Review of the Literature

Spencer Probert; Wenyi Cai; Faiyaz Islam; Nikhil Nanjappa Ballanamada Appaiah; Ali Salih

doi:10.7759/cureus.24768

Bouveret Syndrome: A Rare Case and Review of the Literature

Cureus. 2022 May 6;14(5):e24768. doi: 10.7759/cureus.24768. eCollection 2022 May.

Authors

Spencer Probert¹, Wenyi Cai¹, Faiyaz Islam¹, Nikhil Nanjappa Ballanamada Appaiah², Ali Salih³

Affiliations

¹ General Surgery, Basildon and Thurrock University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, GBR.
² Colorectal Surgery, Basildon and Thurrock University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, GBR.
³ Breast Surgery, Basildon and Thurrock University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, GBR.

Abstract

Bouveret syndrome is a subtype of gallstone ileus, wherein a calculus becomes entrapped in the duodenum via a cholecystocolic fistula, leading to gastric outlet obstruction. Due to the non-specific symptoms the patients present with, a diagnosis is reliant on computed tomography (CT), magnetic resonance imaging (MRI) or direct endoscopic visualisation. We report a case of Bouveret syndrome and review current literature, outlining the aetiopathogenesis and management strategies of this condition.

Keywords: bouveret syndrome; bouveret's syndrome; choleduodenal fistula; cholelithiasis; enterotomy; gallstone disease; gallstone ileus; gastric outlet obstruction; general surgery; upper gastrointestinal surgery.

Publication types

Case Reports