The usual cause is an underlying bilio-enteric fistula between the gallbladder and duodenum (cholecystoduodenal fistula) through which the stone migrates into. Gallstone ileus is peculiar because it can take the form of a high intestinal obstruction followed by a low intestinal obstruction as the stone travels down the. Cholecystoduodenal fistulas usually are caused by gallstones, eroding through the contact point of the inflamed gallbladder with the adjacent bowel, in contrast.

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Appearance on CT and upper gastrointestinal radiography before and after stone obturation. Successful treatment of gallstone ileus Bouveret’s syndrome by using extracorporeal shock wave lithotripsy and argon plasma coagulation. This article has been cited by other articles in PMC. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more.

Conclusion To conclude, Bouveret syndrome is an unusual and a rare complication of gallstone disease. Get free access to newly published articles Create a personal account or sign in to: The individual was otherwise anicteric and his vital parameters were stable. The rarity of this entity in clinical practice is also evidenced by only up to reported cases in literature.


Our website uses cookies to enhance your experience. The cholecystoduodenal fistula was well demonstrated on thick slab images [ Figure 5 ].


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Successful treatment of duodenal bulb obstruction caused by a gallstone Bouveret’s syndrome after endoscopic mechanical lithotripsy. Their mean age was Rare and still controversial.

It is associated cholecyatoduodenal a high mortality and the outcome is significantly influenced by timely diagnosis and treatment. Cholecystectomy and fistulotomy and repair of fistula must be done [ 1 – 3 ]. To identify the incidence of bilioenteric fistula in patients with gallstones, its clinical presentation, diagnosis through imaging xholecystoduodenal, surgical management, postoperative complications, and follow-up.

Can’t read the image? Laparoscopic treatment of Bouveret’s syndrome presenting as acute chlecystoduodenal. The Rigler’s triad is easily identifiable as is the bilio-enteric fistula which is usually delineated by air or oral contrast. Repeated attempts at endoscopic retrieval along with extracorporeal shock wave and mechanical lithotripsy proved fruitless and the patient was taken up for surgery.

The gallbladder is collapsed, thickened, and adherent to the second part of duodenum.

Factors favoring the biliary-enteric fistula formation include: Preoperative diagnosis of the fistula may be impossible. Review of reported cases. Purchase access Subscribe now. Indian J Radiol Imaging.

Cholecystoduodenal Fistula: A Case Report

For prevent fistul of duodenum, wall of the gall bladder was incised on the duodenum so duodenum was separated from the gall bladder. Subsequent radiographs may demonstrate a shift in position of the radio-opaque stone. January 09, ; Published Date: Discussion Bouveret syndrome was first described by Leon Bouveret in Register for fiwtula alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.


Support Radiopaedia and see fewer ads. Introduction Bouveret syndrome is a rare form of gallstone ileus which occurs due to impaction of the stone in the duodenum.


Sign in to make a comment Sign in to your personal account. Results of inflammatory reaction adhesion may be occur and between two organs and gall stone’s pressure may be contribute this process.

To conclude, Bouveret syndrome is an unusual and a rare complication of gallstone disease. Laparoscopic cholecystectomy was intended for the patient, this was converted to open cholecystectomy because of the dense adhesions between gall bladder and duodenum.

Our case is of cholecystoeuodenal years old female.

Unable to process the form. Visit for more related articles at Journal of Universal Surgery. Contracted chronic cholecystitis with gallstone is diagnosed in ultrasonographic examination.