gallstone ileus; Bouveret's syndrome

Introduction

also see ileus

Pathology

Bouveret's syndrome

• gastric outlet obstruction
• gallstone impaction in the pylorus or proximal duodenum after passage through a cholecystoduodenal fistula

Clinical manifestations

• biliary colic

case report Bouveret's syndrome

• nausea/vomiting
• right-upper-quadrant abdominal pain
• abdominal distension
• decreased bowel sounds
• mild epigastric tenderness

Radiology

• abdominal CT (image)
• Rigler's triad
  • pneumobilia (air in biliary tract)
  • small-bowel obstruction
  • ectopic gallstone

Management

• lithotripsy with endoscopic removal of stone
• laparotomy for repair & removal of stone

More general terms

• ileus

Additional terms

• cholelithiasis (gallstones)