Open AccessThe curious case of biliary emesis and bowel obstruction from Bouveret syndrome
Author(s) -
Bing Lun Chow,
Khawaja Zia,
Stephen K. Scott,
Mariasoosai Pathmarajah
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230194
Subject(s) - medicine , sequela , gallstone ileus , complication , fistula , gastric outlet obstruction , duodenum , presentation (obstetrics) , bowel obstruction , biliary fistula , stomach , surgery , general surgery , gastroenterology
Bouveret syndrome is a rare complication of biliary lithiasis. This sequela is caused by the passage of the gallstone via a bilioenteric fistula, resulting in an impacted gallstone in the duodenum or stomach. The common presentation of non-specific symptoms contributes to the diagnostic uncertainty and delay, which is strongly associated with adverse outcomes. We report an uncomplicated stone extraction via open gastrotomy in an elderly man afflicted with bowel obstruction and biliary vomit secondary to Bouveret syndrome.