Bouveret’s Syndrome: A Rare Case Presentation

• Main Authors: Dhvani Bharat Shah, Hiranya Deka, Priyanka Gopal Chilbule, Rajesh Kumar C Mahley, Divakar Jain
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2018-09-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: cholecystoduodenal fistula; gall stone ileus; gastric outlet obstruction
• Online Access: https://jcdr.net/articles/PDF/12008/34662_CE[Ra]_F(Sh)_PF1(AGAK)_PFA(AK)_PB(AG_SS)_PN(SS).pdf

Gall stone ileus is a rare complication of gall stones. A rarer entity is Bouveret's syndrome which causes gastric outlet obstruction due to migration of gall stones into duodenal bulb through cholecystoduodenal fistula. Bouveret's syndrome constitutes 1–3% of the cases of gall stone ileus which in turn complicates only 0.3–4% cases of cholelithisasis. Bouveret's syndrome is managed surgically. The present case is of a 66-year-old man who presented with gastric outlet obstruction and was diagnosed with Bouveret’s syndrome later. Bouveret's syndrome is an uncommon condition whose awareness is essential as it may pose a difficulty in diagnosis.