The Rolling Stone: Bouveret Syndrome Requiring Open Gastrotomy After Failing Electrohydraulic Lithotripsy

Zarian Prenatt; Subin Chirayath; Janak Bahirwani; Rodrigo Duarte-Chavez

doi:10.7759/cureus.39470

The Rolling Stone: Bouveret Syndrome Requiring Open Gastrotomy After Failing Electrohydraulic Lithotripsy

Cureus. 2023 May 25;15(5):e39470. doi: 10.7759/cureus.39470. eCollection 2023 May.

Authors

Zarian Prenatt¹, Subin Chirayath², Janak Bahirwani², Rodrigo Duarte-Chavez²

Affiliations

¹ Internal Medicine, St. Luke's University Health Network, Bethlehem, USA.
² Gastroenterology, St. Luke's University Health Network, Bethlehem, USA.

Abstract

Bouveret syndrome (BS) is an extremely rare form of gallstone ileus where a stone travels through a biliary-enteric fistula and causes gastric outlet obstruction. A 92-year-old male presented with gastric outlet obstruction secondary to an impacted gallstone in the duodenal bulb seen on imaging. Endoscopic therapy failed twice due to the immense gallstone size, and an open gastrotomy was required to remove the stone. The procedure was successful; however, the patient, unfortunately, passed away days after the operation due to other hospital illnesses. BS should be considered in patients with advanced age and significant comorbidities presenting with gastric outlet obstruction.

Keywords: biliary-enteric fistula; bouveret syndrome; electrohydraulic lithotripsy; endoscopic electrohydraulic lithotripsy; gallstone diseases; gallstone ileus; gallstones; gastric outlet obstruction; gastric outlet obstruction (goo).

Publication types

Case Reports