Combined laser and mechanical lithotripsy for endoscopic management of Bouveret's syndrome: A case report

Folia Med (Plovdiv). 2024 Jun 30;66(3):415-420. doi: 10.3897/folmed.66.e106586.

Abstract

Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.

Keywords: Bouveret’s syndrome cholecystitis endoscopy gallstone laser lithotripsy mechanical lithotripsy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Gallstones* / complications
  • Gallstones* / diagnostic imaging
  • Gallstones* / surgery
  • Gallstones* / therapy
  • Gastric Outlet Obstruction* / etiology
  • Gastric Outlet Obstruction* / surgery
  • Gastric Outlet Obstruction* / therapy
  • Humans
  • Intestinal Fistula / surgery
  • Intestinal Fistula / therapy
  • Lithotripsy* / methods
  • Lithotripsy, Laser / methods
  • Male
  • Syndrome