Keywords
Gastric outlet obstruction
Bouveret syndrome
Trapezoid
Case report
Gastroenterology
Date
- Submitted: Nov 5, 2024
- Published: Jan 2, 2025
How to Cite
Abstract
Bouveret Syndrome is an infrequent manifestation of gallstone disease, causing gastric outlet obstruction. This syndrome has diagnostic and therapeutic challenges due to its rarity and non-specific clinical presentation. Here, we present a case report involving a 78-year-old female patient who experienced gastric outlet blockage due to the presence of a sizable gallstone. A novel technique was applied wherein a trapezoid RX wire-guided retrieval basket (Boston Scientific) was utilized with Esophagogastroduodenoscopy to remove the stone without the need for surgical intervention. Post-procedure monitoring demonstrated a smooth recovery with immediate relief of symptoms. Imaging confirmed the absence of residual gallstones or obstruction.
References
1. Turner AR, Kudaravalli P, Al-Musawi JH, Ahmad H. Bouveret Syndrome (Bilioduodenal Fistula). StatPearls. Treasure Island (FL): StatPearls Publishing
Copyright © 2023, StatPearls Publishing LLC.; 2025.
2. Dunlop H, Goodarzi MR. Bouveret Syndrome: A Rare Case of Gallstone Ileus Further Complicated by Stone Migration. Cureus. 2020: e11219 [PMID: 33154859, https://doi.org/10.7759/cureus.11219]
3. Qasaimeh GR, Bakkar S, Jadallah K. Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature. Int Surg. 2014: 819 [PMID: 25437593, https://doi.org/10.9738/INTSURG-D-14-00087.1]
4. Probert S, Cai W, Islam F, Ballanamada Appaiah NN, Salih A. Bouveret Syndrome: A Rare Case and Review of the Literature. Cureus. 2022: e24768 [PMID: 35686250, https://doi.org/10.7759/cureus.24768]
5. Yu YB, Song Y, Xu JB, Qi FZ. Bouveret's syndrome: A rare presentation of gastric outlet obstruction. Exp Ther Med. 2019: 1813 [PMID: 30783453, https://doi.org/10.3892/etm.2019.7150]
6. Nickel F, Muller-Eschner MM, Chu J, von Tengg-Kobligk H, Muller-Stich BP. Bouveret's syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy. BMC Surg. 2013: 33 [PMID: 24006869, https://doi.org/10.1186/1471-2482-13-33]
7. Zhao JC, Barrera E, Salabat M, Denham W, Leung D, Ujiki M. Endoscopic treatment for Bouveret syndrome. Surg Endosc. 2013: 655 [PMID: 23052513, https://doi.org/10.1007/s00464-012-2533-8]
8. L H, L L, M D. Gallstone Coleus: A Rare Relation of Gallstone Ileus. International Journal of Surgery and Research. 2015: 28 https://doi.org/10.19070/2379-156x-150006]
9. Puri V, Lee RW, Amirlak BA, Lanspa SJ, Fitzgibbons RJ, Jr. Bouveret syndrome and gallstone ileus. Surg Laparosc Endosc Percutan Tech. 2007: 328 [PMID: 17710061, https://doi.org/10.1097/SLE.0b013e31806c7dc2]
10. Avci A, Gogenur I, Bulut M. Bouveret's syndrome treated with endoscopic electrohydraulic lithotripsy. BMJ Case Rep. 2019: [PMID: 30798279, https://doi.org/10.1136/bcr-2018-228316]
11. Jindal A, Philips CA, Jamwal K, Sarin SK. Use of a Roth Net Platinum Universal Retriever for the endoscopic management of a large symptomatic gallstone causing Bouveret's syndrome. Endoscopy. 2016: E308 [PMID: 27669536, https://doi.org/10.1055/s-0042-116430]
12. Rey Chaves CE, Villamil CJ, Ruiz S, Galvis V, Conde D, Sabogal Olarte JC. Cholecystogastric fistula in Bouveret syndrome: Case report and literature review. Int J Surg Case Rep. 2022: 106918 [PMID: 35339038, https://doi.org/10.1016/j.ijscr.2022.106918]
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Mahmod Ghoname, Hazem Abosheaishaa, Arshia Sethi, Sharif Abbas, Sherif Hegab, Moataz Yousry Soliman