Cirugía y Cirujanos

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirugía y Cirujanos >Year 2011, Issue 6

Mengual-Ballester M, Guillén-Paredes MP, Cases-Baldó MJ, García-García ML, Aguayo-Albasini JL
Gastrointestinal bleeding and bowel obstruction as a presentation of Bouveret syndrome
Cir Cir 2011; 79 (6)

Language: Español
References: 12
Page: 557-559
PDF: 287.31 Kb.

Full text


Background: Bouveret syndrome is a rare entity consisting of duodenal obstruction due to a gallstone from the gallbladder.
Clinical cases: We present two patients with very different ages and comorbidities whose conditions were resolved in two different ways: a 41-year-old female with right upper quadrant pain and vomiting who underwent surgical correction of obstruction and fistula, and an 81-year-old female with a high bowel obstruction, only treating the obstruction without intervention of the fistula.
Conclusions: It is important to include high gastrointestinal obstruction in the differential diagnosis. Diagnosis can be made either by radiological or endoscopic techniques and therapeutic options are diverse, ranging from endoscopic removal to surgery (with the resolution of obstruction and fistula in the same surgical procedure). This condition usually affects elderly patients with high comorbidities and high surgical risk; therefore, most authors recommend using the most conservative possible treatment.

Key words: Bouveret syndrome, gallstone ileus, cholecystoduodenal fistula.


  1. Crespo-Pérez L, Angueira-Lapeña T, Defarges-Pons V, Foruny-Olcina JR, Cano-Ruiz A, Benita-León V, et al. Una causa infrecuente de obstrucción gástrica: síndrome de Bouveret. Gastroenterol Hepatol 2008;31:646-651.

  2. Rojas J, Cabané P, Hernández JA, Díaz C, Vidal A. Síndrome de Bouveret: caso clínico y revisión de la literatura. Rev Chilena Cir 2005;57:508-510.

  3. Rivera-Irigoín R, Ubiña-Aznar E, García-Fernández G, Navarro-Jarabo JM, Fernández-Pérez F, Sánchez-Cantos A. Síndrome de Bouveret resuelto mediante litotricia mecánica endoscópica. Rev Esp Enferm Dig 2006;98:789-798.

  4. Doycheva I, Limaye A, Suman A, Forsmark C, Sultan S. Bouveret’s syndrome: case report and review of the literature. Gastroenterol Res Practice 2009;2009:914-951. doi:10.1155/2009/914951

  5. Cappell MS, Davis M. Characterization of Bouveret’s syndrome: a comprehensive review of 128 cases. Am J Gastroenterol 2006;101:2139-2146.

  6. Jones TA, Davis ME, Glantz AI. Bouveret’s syndrome presenting as upper gastrointestinal hemorrhage without hematemesis. Am Surg 2001;67:786-789.

  7. Koulaouzidis A, Moschos J. Bouveret’s syndrome. Narrative review. Ann Hepatol 2007;6:89-91.

  8. Lowe AS, Stephenson S, Kay CL, May J. Duodenal obstruction by gallstones (Bouveret’s syndrome): a review of the literature. Endoscopy 2005;37:82-87.

  9. Iancu C, Bodea R, Al Hajjar N, Todea D, Bala O, Acalovschi I. Bouveret syndrome associated with acute gangrenous cholecystitis. J Gastrointestinal Liver Dis March 2008;17:87-90.

  10. Vidal O, Seco J, Álvarez A, Triñanes J, Serrano L, Serrano S. Síndrome de Bouveret: cinco casos. Rev Esp Enf Digest 1994;86:839-844.

  11. Íñíguez A, Butte JM, Zúñiga JM, Crovari F, Llanos O. Bouveret syndrome, report of four cases. Rev Med Chile 2008;136:163-168.

  12. Doko M, Zovak M, Kopljar M, Glavan E, Ljubicic N, Hochstadter H. Comparison of surgical treatments of gallstone ileus: preliminary report. World J Surg 2003;27:400-404.

>Journals >Cirugía y Cirujanos >Year 2011, Issue 6

· Journal Index 
· Links 

Copyright 2019