Bouveret’s Syndrome: A Case-Based Review, Clinical Presentation, Diagnostics and Treatment Approaches

Özet

Gastric outlet obstruction that arises from gallstones impacted in the distal stomach or proximal duodenum after passing througha cholecystoduodenal, cholecystogastric or rarely choledocoduodenal fistula is called as Bouveret's syndrome and it accounts forapproximately 1-3% of all the patients with gallstone ileus. Although treatment modalities, including stone removal or fragmentation with classical endoscopic devices, such as snares, and forceps or fragmentation of gallstones with new devices, such aselectrohydraulic lithotripsy, laser, extracorporeal shockwave lithotripsy have been described. However, only 29% of the patientsbenefit from nonsurgical methods. Removal of the stone through a gastrotomy or enterotomy and performing cholecystectomyand fistula repair with a second operation is an approach recommended for older patients with comorbid diseases. In this paper,a case of Bouveret’s syndrome was presented. The authors also aimed to review the diagnosis, management and treatment of thisrare disease and to update the previous reviews.