BOUVERET’S SYNDROME – A RARE CAUSE OF INTESTINAL OBSTRUCTION

• Main Author: FERNANDES, Urânia
• Publication Date: 2023
• Other Authors: GUIDI, Gonçalo, MARTINS, Daniela, MARQUES, Rita, MOREIRA, Herculano, PINTO-DE-SOUSA, João
• Format: Article
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://doi.org/10.34635/rpc.818
• topic: gallstone; ileus; intestinal obstruction; litíase; ileus; oclusão intestinal

This report is about a clinical case of Bouveret’s Syndrome (BS), a gastric outlet obstruction by a gallstone. It is rare and often a delayed diagnosis in elderly women with comorbidities. These factors contribute to a relevant morbidity and mortality, underlying the importance of an adequate and timely treatment. Its inespecific simptoms makes a high clinical suspicion essential. In the presence of Rigler’s triad the plain abdominal X-ray is diagnostic in one third of the cases but the diagnosis is generally made by CT-scan or esophagogastrosduodenoscopy. This one is often attempted first but surgery is almost always needed. Enterolithotomy/gastrotomy can be complemented by cholecystectomy in a one or two-stage surgery. The most definitive surgical procedures should be restricted for patients in the best physiological conditions.