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Journal of Case Reports
Bouveret’s Syndrome: A Report of Two Cases and Review of the Literature
Subhashish Das, Amitabh Yadav, Samiran Nundy
Department of Surgical Gastroenterology, Sir Gangaram Hospital, New Delhi, India.
Corresponding Author:
Dr. Subhashish Das
Email: subhamsubham1@yahoo.co.in
Received: 21-OCT-2018 Accepted: 22-JAN-2019 Published Online: 30-JAN-2019
DOI: http://dx.doi.org/10.17659/01.2019.0006
Background: Bouveret’s syndrome is an uncommon complication of the very common problem of gallstone disease. It consists of obstruction due to impaction of a gallstone in the duodenum, through a cholecysto-duodenal fistula and belongs to the larger group of conditions called gallstone ileus which occur after the development of a fistula between the gallbladder and the gastrointestinal tract. It is associated with a high morbidity and mortality because it occurs mostly in the elderly. Case Report: We recently encountered two such cases of Bouveret syndrome in elderly patients. The diagnoses were not made pre-operatively after considering the clinical features and radiological and endoscopic test. They were both successfully managed surgically. Conclusion: Bouveret’s syndrome is an uncommon entity, diagnosis and management of which remains controversial.

Keywords : Duodenal Diseases, Duodenum, Fistula, Gallstones, Ileus.
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