Bouveret's Syndrome: A Case Report
Author Information
Author(s): Muacevic Alexander, Adler John R, Osorio-Euan Alejandro, Ayuso-Diaz Victor M, Ferraez-Perez Jaime A, Moreno-Enriquez Angelica, Hurtado-Miranda Grecia F
Primary Institution: Hospital Regional Elvia Carrillo Puerto, Institute for Social Security and Services for State Workers (ISSSTE)
Hypothesis
Bouveret's syndrome is a rare disorder that causes upper gastrointestinal obstruction, typically in elderly patients with a history of chronic cholelithiasis.
Conclusion
Early diagnosis and prompt surgical intervention are essential to prevent complications such as bowel perforation and sepsis.
Supporting Evidence
- Bouveret's syndrome is characterized by the passage of a gallstone through a bilioenteric fistula into the duodenum.
- The patient presented with severe abdominal pain, nausea, vomiting, and abdominal distension.
- Imaging studies confirmed the presence of an impacted gallstone in the duodenum.
- The patient underwent successful surgery with removal of the stone and repair of the bilioenteric fistula.
- Early diagnosis and prompt surgical intervention are essential to prevent complications.
- Advanced imaging techniques, particularly computed tomography, play a crucial role in confirming the diagnosis.
- Surgical intervention remains the standard of care for large stones or persistent obstruction.
- The case highlights the importance of considering Bouveret's syndrome in elderly patients with a history of cholelithiasis.
Takeaway
Bouveret's syndrome is when a gallstone blocks the intestine, and it can happen to older people with gallstones. Surgery can fix it.
Methodology
The case involved imaging studies and surgical intervention to remove the obstructing gallstone.
Limitations
The rarity of Bouveret's syndrome can lead to misdiagnosis and delayed treatment.
Participant Demographics
A 58-year-old woman with a history of untreated cholelithiasis.
Digital Object Identifier (DOI)
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