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Bouveret's Syndrome: Case Report and Review of the Literature

By Iliana Doycheva, Alpna Limaye, Amitabh Suman, Christopher E. Forsmark and Shahnaz Sultan


Bouveret's syndrome is defined as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes into the duodenal bulb through a cholecystogastric or cholecystoduodenal fistula. Initial attempts at endoscopic retrieval with or without mechanical or extracorporeal lithotripsy should be performed as first-line treatment, though success rates with endoscopic treatment are variable. We describe a case of Bouveret's Syndrome in an elderly patient that was successfully treated with endoscopic extraction combined with mechanical lithotripsy, and review the literature on this uncommon condition

Topics: Case Report
Publisher: Hindawi Publishing Corporation
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Provided by: PubMed Central
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