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Case Reports
. 2022 Apr 7;16(1):247-251.
doi: 10.1159/000522251. eCollection 2022 Jan-Apr.

Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention

Daniel Stenberg  1 , Mazen M Jamal  2 , Harpreet Kaur  3 , Massimo Arcerito  4   5
Affiliations
Case Reports

Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention

Daniel Stenberg et al. Case Rep Gastroenterol. .

Abstract

Bouveret's syndrome is an unusual clinical presentation of gastric-outlet obstruction and is the most infrequent variant of gallstone ileus with just over 300 cases in the literature. A 73-year-old female presented with innocuous constitutional symptoms and was found to have Mirizzi type Vb, a cholecystoduodenal fistula with obstruction. Esophago-gastroduodenoscopy-attempted dislodgement was unsuccessful. A gastric-jejunal bypass was the only option due to friability of the tissue. On post-op day 5, the patient developed acute abdominal pain and was found to have gallstone ileus. This case emphasizes the importance of early surgical intervention in cases of acute on chronic cholecystitis.

Keywords: Bouveret; Cholecystitis; Gallstone ileus; Gastric-outlet obstruction; Mirizzi.

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Conflict of interest statement

COI: Daniel Stenberg, Massimo Arcerito, Harpreet Kaur, and Mazen Jamal each state they do not have any conflict of interest or any financial support behind this work.

Figures

Fig. 1
Fig. 1
CT scan showed a large stone causing gastric-outlet obstruction with the presence of a cholecystoduodenal fistula.
Fig. 2
Fig. 2
CT scan revealed a terminal ileum gallstone ileus.
Fig. 3
Fig. 3
Direct visualization of obstruction stone on EGD. EGD, esophago-gastroduodenoscopy.
See this image and copyright information in PMC

References

    1. Kurtz RJ, Heimann TM, Beck AR, Kurtz AB. Patterns of treatment of gallstone ileus over a 45-year period. Am J Gastroenterol. 1985;80((2)):95–8. - PubMed
    1. Ayantunde AA, Agrawal A. Gallstone ileus: diagnosis and management. World J Surg. 2007;31((6)):1292–7. - PubMed
    1. Reisner RM, Cohen JR. Gallstone ileus: a review of 1,001 reported cases. Am Surg. 1994;60((6)):441–6. - PubMed
    1. Mallipeddi MK, Pappas TN, Shapiro ML, Scarborough JE. Gallstone ileus: revisiting surgical outcomes using national surgical quality improvement program data. J Surg Res. 2013;184((1)):84–8. - PubMed
    1. Chen H, Siwo EA, Khu M, Tian Y. Current trends in the management of Mirizzi Syndrome: a review of literature. Medicine. 2018;97((4)):9691. - PMC - PubMed

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