A Unique Presentation of Bouveret’s Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously

Autor: Yuqian Tian, Neha Sarvepalli, Mustafa Nazzal
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Surgery, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-6900
2090-6919
DOI: 10.1155/2021/8869803
Popis: Bouveret’s syndrome refers to a gastric outlet obstruction secondary to impaction of a gallstone in the pylorus or proximal duodenum. Thus, it can be considered a very proximal form of gallstone ileus and is infrequent. We describe such a unique case that a female patient presents with Bouveret’s syndrome and concomitant common bile duct obstruction by a second gallstone. The decision over its surgical management is complicated, based on risk factors, clinical presentations, radiographic evidence, surgical risk assessment, and specific considerations tailored to individual case. Because of her stable clinical picture and low surgical risk, we proceeded with stone extractions, fistula take-down, and common bile duct exploration in a one-stage procedure. Her postoperative course was complicated by bile stained drainage through closed suction drain that resolved with conservative management.
Databáze: Directory of Open Access Journals
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