Intraoperative diagnosis of Bouveret syndrome requiring urgent endoscopic intervention: A case report

Bouveret syndrome is a rare complication of gallstone ileus with a high mortality rate. It is defined as the migration of a large gallstone through a cholecystoduodenal fistula leading to gastric outlet obstruction. During this case, gastroenterology was urgently paged to the operating room during a...

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Bibliographic Details
Main Authors: Zehara Abidi, Shrey Dalwadi, Avneet Singh, Robert Kim, Alexander Garcia, Ishita Dhawan, Adam Elfant
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X251359737
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Summary:Bouveret syndrome is a rare complication of gallstone ileus with a high mortality rate. It is defined as the migration of a large gallstone through a cholecystoduodenal fistula leading to gastric outlet obstruction. During this case, gastroenterology was urgently paged to the operating room during an elective cholecystectomy in a 61-year-old female when a large gallstone was found in a fistula. Subsequently, mechanical lithotripsy and basket removal of the stone were performed. This case highlights the importance of swift diagnosis and utility of less-invasive endoscopy procedures for treatment of Bouveret syndrome.
ISSN:2050-313X