Massive gastropathy due to gallstone obstruction of the duodenum (Bourveret syndrome)

J Forensic Sci. 2024 Sep;69(5):1932-1934. doi: 10.1111/1556-4029.15573. Epub 2024 Jun 23.

Abstract

Gallstones are common in the general population and are often asymptomatic, but they can also cause complications such as cholecystitis and pancreatitis. In rare instances, they can lead to the formation of a cholecystoduodenal fistula and gallstone ileus. Gastric dilatation and distension following gallstone ileus are extremely uncommon and have rarely been reported in the literature. We report a fatal case of massive gastropathy as a result of Bouveret syndrome secondary to gallstone obstruction.

Keywords: autopsy; biliary fistula; cholecystitis; cholecystoduodenal fistula; forensic pathology; gallstones and gallstone ileus.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Duodenal Obstruction* / etiology
  • Duodenal Obstruction* / pathology
  • Fatal Outcome
  • Female
  • Gallstones* / complications
  • Gallstones* / pathology
  • Gastric Dilatation / etiology
  • Gastric Dilatation / pathology
  • Humans
  • Intestinal Fistula / pathology
  • Male
  • Syndrome