Bouveret syndrome, a rare form of gallstone ileus. Case report.

Introduction: Bouveret syndrome is a rare form of gallstone ileus that causes gastric obstruction due to the presence of a gallstone in the pylorus or duodenum, secondary to biliodigestive fistula. This condition is difficult to diagnose and one of its main complications is hemorrhage in the digest...

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Main Authors: Lúver Alexi Macías Jara, David Cipriano Yépez Yépez, José Ramon Chung Villavicencio, Marcos Alvarado Villegas, Adriano Rocha Galecio
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2018-01-01
Series:Case Reports
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Online Access:https://revistas.unal.edu.co/index.php/care/article/view/65771
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author Lúver Alexi Macías Jara
David Cipriano Yépez Yépez
José Ramon Chung Villavicencio
Marcos Alvarado Villegas
Adriano Rocha Galecio
author_facet Lúver Alexi Macías Jara
David Cipriano Yépez Yépez
José Ramon Chung Villavicencio
Marcos Alvarado Villegas
Adriano Rocha Galecio
author_sort Lúver Alexi Macías Jara
collection DOAJ
description Introduction: Bouveret syndrome is a rare form of gallstone ileus that causes gastric obstruction due to the presence of a gallstone in the pylorus or duodenum, secondary to biliodigestive fistula. This condition is difficult to diagnose and one of its main complications is hemorrhage in the digestive tract. Two-stage surgical management is recommended, although it can also be managed through upper endoscopy in gallstones smaller than 2.5cm. Prognosis and postoperative period are good. Clinical case: 63-year-old patient with a clinical picture of 15 days of pain in the epigastrium and bilious vomiting. Imaging showed a calcified mass in the second part of the duodenum, which was surgically treated by entering the jejunum, performing an enterotomy and extracting the gallstone. The patient was discharged on the fifth day without any symptoms. Conclusion: Bouveret syndrome is a rare entity that requires better medical assessment and ancillary imaging techniques to achieve a timely diagnosis.
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publisher Universidad Nacional de Colombia
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spelling doaj-art-b498dfcf33e2449fa7fccfddd6ce3b5a2025-08-20T02:48:09ZengUniversidad Nacional de ColombiaCase Reports2462-85222018-01-014110.15446/cr.v4n1.6577148107Bouveret syndrome, a rare form of gallstone ileus. Case report.Lúver Alexi Macías Jara0David Cipriano Yépez Yépez1José Ramon Chung Villavicencio2Marcos Alvarado Villegas3Adriano Rocha Galecio4Hospital Luis VernazaHospital Luis VernazaHospital Luis VernazaHospital Luis VernazaHospital Luis Vernaza Introduction: Bouveret syndrome is a rare form of gallstone ileus that causes gastric obstruction due to the presence of a gallstone in the pylorus or duodenum, secondary to biliodigestive fistula. This condition is difficult to diagnose and one of its main complications is hemorrhage in the digestive tract. Two-stage surgical management is recommended, although it can also be managed through upper endoscopy in gallstones smaller than 2.5cm. Prognosis and postoperative period are good. Clinical case: 63-year-old patient with a clinical picture of 15 days of pain in the epigastrium and bilious vomiting. Imaging showed a calcified mass in the second part of the duodenum, which was surgically treated by entering the jejunum, performing an enterotomy and extracting the gallstone. The patient was discharged on the fifth day without any symptoms. Conclusion: Bouveret syndrome is a rare entity that requires better medical assessment and ancillary imaging techniques to achieve a timely diagnosis. https://revistas.unal.edu.co/index.php/care/article/view/65771CholelithiasisBiliary fistulaDuodenal obstructionGallstones
spellingShingle Lúver Alexi Macías Jara
David Cipriano Yépez Yépez
José Ramon Chung Villavicencio
Marcos Alvarado Villegas
Adriano Rocha Galecio
Bouveret syndrome, a rare form of gallstone ileus. Case report.
Case Reports
Cholelithiasis
Biliary fistula
Duodenal obstruction
Gallstones
title Bouveret syndrome, a rare form of gallstone ileus. Case report.
title_full Bouveret syndrome, a rare form of gallstone ileus. Case report.
title_fullStr Bouveret syndrome, a rare form of gallstone ileus. Case report.
title_full_unstemmed Bouveret syndrome, a rare form of gallstone ileus. Case report.
title_short Bouveret syndrome, a rare form of gallstone ileus. Case report.
title_sort bouveret syndrome a rare form of gallstone ileus case report
topic Cholelithiasis
Biliary fistula
Duodenal obstruction
Gallstones
url https://revistas.unal.edu.co/index.php/care/article/view/65771
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