Post written by Eduardo A. Vega, MD, from St. Elizabeth’s Medical Center, Boston University School of Medicine, Boston, MA, USA. This article presents 2 successful cases of endoscopic treatment for Bouveret syndrome and cholecystocolonic fistulae leading to large-bowel obstruction. Bouveret syndrome and cholecystocolonic fistulae, though rare, represent severe adverse events of cholelithiasis. These cases highlight the …
Tag: Bouveret syndrome
Treatment of Bouveret syndrome with stone fragmentation using an endoscopic submucosal dissection knife
Post written by Fiona Milne, MD, from Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Our case describes a 61-year-old man with a 3-decade history of recurrent cholecystitis who presented with Bouveret syndrome. A CT scan showed a 5-cm obstructing gallstone in the proximal duodenum. Surgery was considered to be high risk, given medical comorbidities. …
Bouveret syndrome: a tough nut to crack
Post written by Ijlal Akbar Ali, MD, from the Department of Digestive Diseases and Nutrition, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma, USA. We describe a case of a morbidly obese woman who presented to the emergency room with a 3-day history of right upper-quadrant abdominal pain. CT scan obtained demonstrated a 3-cm gallstone …
Electrohydraulic lithotripsy and gallstone removal
Alireza Sedarat, MD, Division of Digestive Diseases, Department of Medicine, University of California Los Angeles, in Los Angeles, California, USA presents this VideoGIE case "Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome." The case describes an elderly patient with advanced gallbladder cancer who presented with emesis and a presumptive diagnosis of …
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