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Endoscopic therapy for Bouveret syndrome, illustrated by a case report

Journal Volume 86 - 2023
Issue Fasc.2 - Case reports
Author(s) E. Hufkens 1, M. Struyve 2, M. Bronswijk 3, S. van der Merwe 3 4
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PAGES 360-362
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DOI10.51821/86.2.10503
Affiliations:
(1) Department of Gastroenterology and Hepatology, UZ Gasthuisberg, Leuven, Belgium
(2) Department of Gastroenterology and Hepatology, Zuid-Oost-Limburg, Genk, Belgium
(3) Department of Gastroenterology and Hepatology, Imelda, Bonheiden, Belgium
(4) Department of Gastroenterology and Hepatology, UZ Gasthuisberg, Leuven, Belgium

Bouveret syndrome is an exceptionally rare form of gallstone ileus secondary to a bilioenteric fistula, through which a voluminous gallstone can migrate into the pylorus or duodenum, thereby causing gastric outlet obstruction. In order to increase awareness, we reviewed the clinical features, diagnostic tools and management options for this uncommon entity. We specifically focus on endoscopic therapeutic options, illustrated by a case of a 73 year old woman with Bouveret syndrome, where endoscopic electrohydraulic lithotripsy was successful in relieving gastroduodenal obstruction.

Keywords: Bouveret, gallstone ileus, endoscopy, lithotripsy.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 37428171