Bouveret syndrome: a rare cause of gastric outlet obstruction

2021 ◽  
Vol 14 (4) ◽  
pp. e240236
Author(s):  
Christopher Smith ◽  
Shailendra Singh ◽  
Paul Vulliamy ◽  
Samrat Mukherjee
Keyword(s):  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Gallstone Disease ◽  
Outlet Obstruction ◽  
Chronic Cholecystitis ◽  
Fistula Formation ◽  
Bladder Drainage ◽  
Blood Tests ◽  
History Of ◽  
Bouveret Syndrome

Bouveret syndrome is a rare cause of gastric outlet obstruction. It is characterised by the presence of an obstructing gallstone in the pylorus or proximal duodenum, which has travelled to its obstructing position via an acquired fistula. Our case involves a 73-year-old man presenting to the acute surgical take with a 2-day history of right-sided abdominal pain and vomiting. His medical history included perforated cholecystitis treated with antibiotics and percutaneous gall bladder drainage, 1 year earlier. Examination and blood tests were suggestive of gastric outlet obstruction. CT abdomen and pelvis demonstrated a large gallstone obstructing the duodenum, confirming a diagnosis of Bouveret syndrome. The patient improved following gastrolithotomy, and was discharged 2 weeks postoperatively. Fistula formation is a complication of chronic cholecystitis and therefore Bouveret syndrome should be considered in patients with a background of gallstone disease presenting with gastric outlet obstruction.

scholarly journals Capsule-strip- An Unusual Cause of Acute Gastric Outlet Obstruction: A Case-Report

2013 ◽  
Vol 5 (1) ◽  
pp. 67-68
Author(s):  
AHM Rowshon ◽  
AKM Rafique Uddin
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Pyloric Ring ◽  
Gi Endoscopy ◽  
Blood Tests ◽  
History Of ◽  
Colicky Pain ◽  
Upper Gastrointestinal

A male patient presented with seven days history of severe epigastric colicky pain and vomiting. The patient was anxious and dehydrated. Blood tests and ultrasound reports were unremarkable. . Upper Gastrointestinal (GI) Endoscopy revealed a strip of capsule impacted at pyloric ring which was removed endoscopically and the patient became symptom free. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16252 J Shaheed Suhrawardy Med Coll, 2013;5(1):67-68

scholarly journals Unusual Tissue – Unusual Issue: Pancreatic Heterotopia Presenting as Gastric Outlet Obstruction

2021 ◽  
pp. 338-343
Author(s):  
Thu L. Nguyen ◽  
Shivani Kapur ◽  
Stephen C. Schlack-Haerer ◽  
Grzegorz T. Gurda ◽  
Milan E. Folkers
Keyword(s):  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Needle Aspiration ◽  
Pancreatic Tissue ◽  
Cystic Mass ◽  
Pancreatic Heterotopia ◽  
History Of

Pancreatic heterotopia (PH) is a common, but typically small (<1 cm), incidental and asymptomatic finding; however, PH should be considered even for large and symptomatic upper gastrointestinal masses. A 27-year-old white woman presented with a 3-week history of burning epigastric pain, nausea, early satiety, and constipation. Physical examination revealed epigastric and right upper quadrant tenderness with normal laboratory workup, but imaging revealed a 5-cm, partly cystic mass arising from the gastric antrum with resulting pyloric stenosis and partial gastric outlet obstruction. Endoscopic ultrasound-guided fine needle aspiration revealed PH – an anomalous pancreatic tissue lying in a nonphysiological site. The patient ultimately underwent a resection and recovered uneventfully, with a complete pathologic examination revealing normal exocrine pancreatic tissue (PH type 2) without malignant transformation. We report a case of heterotopic pancreas manifesting as severe gastric outlet obstruction, in addition to a thorough diagnostic workup and surgical follow-up, in a young adult. Differential diagnoses and features that speak to benignity of a large, symptomatic mass lesion (PH in particular) are discussed.

scholarly journals Endoscopic Diagnosis of Bouveret Syndrome

2020 ◽  
Vol 14 (3) ◽  
pp. 683-686
Author(s):  
Felix Hesse ◽  
Mohamed Abdelhafez ◽  
Christoph Schlag ◽  
Roland M. Schmid ◽  
Tobias Lahmer
Keyword(s):  
Computed Tomography ◽  
Female Patient ◽  
Gastric Outlet Obstruction ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Endoscopic Diagnosis ◽  
Endoscopic Imaging ◽  
Bouveret Syndrome

Bouveret syndrome is a form of gallstone ileus and a rare complication of chole(cysto)lithiasis. It describes gastric outlet obstruction secondary to an impacted gallstone. Here, we report a case of an 82-year-old female patient with gastric outlet obstruction and penetration of gallstones into the duodenal bulb on endoscopic imaging. Based on these findings Bouveret syndrome was diagnosed and confirmed by computed tomography.

Bouveret syndrome: a rare case of gastric outlet obstruction in a young patient

2021 ◽  
Vol 91 (12) ◽  
pp. 2854-2855
Author(s):  
Shaun Wen Yang Chan ◽  
Chun Hai Tan ◽  
Kheng Tian Lim
Keyword(s):  
Young Patient ◽  
Gastric Outlet Obstruction ◽  
Rare Case ◽  
Outlet Obstruction ◽  
Bouveret Syndrome

scholarly journals Gastric outlet obstruction with an elevated serum pancreatic lipase secondary to an infraumbilical hernia

2013 ◽  
Vol 95 (7) ◽  
pp. e16-e18
Author(s):  
WKB Ranasinghe ◽  
M Smith
Keyword(s):  
Ventral Hernia ◽  
Gastric Outlet Obstruction ◽  
Pancreatic Lipase ◽  
Elevated Serum ◽  
Outlet Obstruction ◽  
Serum Biochemistry ◽  
Uneventful Recovery ◽  
Large Ventral Hernia ◽  
History Of ◽  
Symptoms And Signs

We report the case of a 68-year-old woman who presented with symptoms and signs of gastric outlet obstruction with a history of a ventral hernia. Clinical examination revealed a large ventral hernia with visible peristalsis of the herniated viscera.Initial serum biochemistry revealed a markedly elevated lipase level and deranged renal function.Computed tomography demonstrated an infraumbilical hernia with herniation of the stomach through the ventral defect and distortion of the pancreatic anatomy. The hernia was reduced operatively and repaired, leading to an uneventful recovery.

scholarly journals Rapunzel syndrome causing partial gastric outlet obstruction requiring emergency laparotomy

2020 ◽  
Vol 13 (1) ◽  
pp. e232904
Author(s):  
Robert Lyons ◽  
Granit Ismaili ◽  
Michael Devine ◽  
Haroon Malik
Keyword(s):  
Ct Scan ◽  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Postoperative Recovery ◽  
Emergency Laparotomy ◽  
Rapunzel Syndrome ◽  
History Of

A 16-year-old girl with a background of childhood trichophagia presented with a 2-day history of epigastric pain and associated anorexia with vomiting. An epigastric mass was palpable on examination. A CT scan revealed an intragastric trichobezoar, extending into the duodenum consistent with Rapunzel syndrome with evidence of partial gastric outlet obstruction and a possible perforation. The patient underwent an urgent laparotomy and extraction of the trichobezoar. The bezoar was removed without complication and no intraoperative evidence of perforation was detected. After an uncomplicated postoperative recovery, she was discharged home with psychiatric follow-up.

scholarly journals A case report and review of the literature of Bouveret syndrome

2020 ◽  
Vol 102 (1) ◽  
pp. e15-e19 ◽  
Author(s):  
G Singh ◽  
N Merali ◽  
S Shirol ◽  
P Drymousis ◽  
S Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Rare Variant ◽  
Gastric Outlet Obstruction ◽  
Gallstone Ileus ◽  
Outlet Obstruction ◽  
Review Of The Literature ◽  
First Case ◽  
Bouveret Syndrome

Bouveret syndrome is a rare variant of gallstone ileus causing gastric outlet obstruction. It results from the formation of either a cholecystoduodenal or a cholecystogastric fistula and subsequent migration of gallstone into the duodenum or pylorus of stomach, causing obstruction. The first case was reported by Leon Bouveret in 1896. We report a case illustrating the rarity and severity of this condition, together with a review of the literature of the different methods of endoscopic and surgical treatment.

scholarly journals Giant Hepatic Hemangioma Presenting as Gastric Outlet Obstruction

2013 ◽  
Vol 98 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Cemalettin Aydin ◽  
Sami Akbulut ◽  
Koray Kutluturk ◽  
Aysegul Kahraman ◽  
Cuneyt Kayaalp ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Gastric Outlet Obstruction ◽  
Benign Tumor ◽  
Significant Proportion ◽  
Outlet Obstruction ◽  
Left Lobe ◽  
Hepatic Hemangioma ◽  
Giant Hepatic Hemangioma

Abstract Hemangioma, a most frequently encountered primary benign tumor of the liver, is generally determined incidentally during the course of radiologic tests for other reasons. Most lesions are less than 3 cm and a significant proportion of patients are asymptomatic, although the size and location of the lesion in some patients may be associated with the onset of symptoms. Pressure on the stomach and duodenum of giant hemagiomas developing in the left lobe of the liver, in particular, may result in the development of abdominal pain, nausea, vomiting, and feeling bloated, which are characteristic of a gastric outlet obstruction. A 42-year-old man presented with findings of gastric outlet obstruction and weight loss as a result of a giant hepatic hemangioma.

scholarly journals Gastric Outlet Obstruction by a Hydrocholecyst. A Very Rare Variant of Bouveret Syndrome: A Case Report

2021 ◽  
Vol 12 (09) ◽  
pp. 332-337
Author(s):  
Luis Daniel Betancourt Martínez ◽  
Alberto Manuel González Chávez ◽  
Mario Andrés González Chávez ◽  
Jiroyoshi Enrique Muneta Kishigami ◽  
Abraham Samra Saad
Keyword(s):  
Case Report ◽  
Rare Variant ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bouveret Syndrome
Sign in / Sign up

Export Citation Format

Share Document