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A Rare variant of gallstone ileus: Bouveret’s syndrome

Fancellu, Alessandro and Niolu, Pietro and Scanu, Antonio Mario and Feo, Claudio F. and Ginesu, Giorgio Carlo and Barmina, Maria L. (2010) A Rare variant of gallstone ileus: Bouveret’s syndrome. Journal of Gastrointestinal Surgery, Vol. 14 (4), p. 753-755. eISSN 1873-4626. Article.

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DOI: 10.1007/s11605-009-0918-3

Abstract

Introduction: Bouveret’s syndrome (gastric outlet obstruction due to impaction of a stone) is a rare variant of gallstone ileus. A recently observed case led us to review the literature, with the aim to discuss the recent advances in the management of this rare syndrome.
Discussion: A 69-year-old woman was admitted with symptoms of high intestinal obstruction. Computed tomography scan of the abdomen showed a large gallstone impacted in the duodenum. One-stage surgery, consisting in enterolithotomy, cholecystectomy, and fistula repair, was carried out. Although several surgical and nonoperative procedures have been used, the optimal treatment of Bouveret’s syndrome remains controversial. Surgery still maintains a prominent position, even though nonoperative procedures have an increasing role especially in high risk patients with important comorbidities. The decision should be taken on an individual basis, after evaluating patient’s general condition and age, stone size, comorbidities influencing the operative risk, and expertise of surgical and endoscopic teams. One-stage surgery may offer definitive management in selected patients.

Item Type:Article
ID Code:4840
Status:Published
Refereed:Yes
Uncontrolled Keywords:Bouveret’s syndrome, gallstone ileus, surgical treatment, nonoperative treatment, one-stage surgery
Subjects:Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 03 Istituti > Clinica chirurgica generale e terapia chirurgica
Publisher:Springer
eISSN:1873-4626
Copyright Holders:© 2009 The Society for Surgery of the Alimentary Tract
Deposited On:15 Nov 2010 14:42

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