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Case Reports
. 2008 Nov 5;2(3):346-50.
doi: 10.1159/000151581.

Successful Endoscopic Management of Bouveret's Syndrome in a Patient with Cholecystoduodenocolic Fistulae

S Tanwar  1 , A Mawas, M Tutton, D O'Riordan
Affiliations
Case Reports

Successful Endoscopic Management of Bouveret's Syndrome in a Patient with Cholecystoduodenocolic Fistulae

S Tanwar et al. Case Rep Gastroenterol. .

Abstract

Bouveret's syndrome, first described in 1896 by Léon Bouveret, is rare, limited to approximately 200 published case reports to date [Ariche et al.: Scand J Gastroenterol 2000;35:781-783]. It is a subgroup of gallstone ileus in which a cholecystoduodenal fistula allows the passage of a gallstone that obstructs the duodenum, causing gastric outlet obstruction. This case is unique as it describes Bouveret's syndrome in a patient with combined cholecystoduodenocolic fistulae. Gastric outlet obstruction was successfully managed endoscopically with lithotripsy. Both fistulae were subsequently managed conservatively without any complications.

Keywords: Bouveret; Cholecystocolic; Cholecystoduodenal; Gallstone.

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Figures

Fig. 1
Fig. 1
Abdominal X-ray – evident pneumobilia.
Fig. 2
Fig. 2
CT scan – evident cholecystocolic fistula.
Fig. 3
Fig. 3
Gallstone in D1.
Fig. 4
Fig. 4
Gallstone in fundus.
See this image and copyright information in PMC

References

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    1. Bouveret L. Sténose du pylore adhérent à la vésicule. Rev Med (Paris) 1896;16:1–16.
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    1. Hession PR, Rawlinson J, Hall JR, Keating JP, Guyer PB. The clinical and radiological features of cholecystocolic fistulae. Br J Radiol. 1997;69:804–809. - PubMed

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