Sotelo EJC, Herrera MH, Santos MA

Language: Spanish
References: 12
Page: 276-280
PDF size: 350.55 Kb.

ABSTRACT

Introduction: Bouveret syndrome is the biliodigestive fistula that characterizes by abnormal communication between duodenal mucose and gallbladder mucose. It’s a rare form of biliary ileus, which occurs when a stone goes though the gallbladder wall to a hollow viscera. The clinic presentation is not precise, which makes more difficult the preoperative diagnosis. Three of the more useful exams for diagnosis are ultrasound, CT scan and endoscopy. Objective: The main objective of this paper was to inform the case of a patient with a variety of biliointestinal fistula, with the laparoscopic treatment approach using basic instruments and showing excellent results. Case report: 65 years old female patient with a history of breast cancer programmed for laparoscopic cholecystectomy with findings of cholecystoduodenal fistula. The post operatory period occurred with no incidents and the patient was discharged five days after surgery. Conclusion: The cholecystoduodenal fistula can be well treated with laparoscopy and basic instrumentation.

REFERENCES

1. Abou-Saif A, Al-Kawas FH. Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am Gastroenterol. 2002; 97: 249-254.

2. Doménech SFM, López MJV, Fernández GP, San Miguel Moncín MM, Sánchez SG, Jornet FJ et al. Bouveret’s syndrome: the clinical and radiological findings. Rev Esp Enferm Dig. 1999; 91 (2): 144-148.

3. Arioli D, Venturini I, Masetti M, Romagnoli E, Scarcelli A, Ballesini P. Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of “Bouveret’s syndrome”. World J Gastroenterol. 2008; 14 (1): 125-128.

4. Rivera IR, Ubina AE, García FG, Navarro JJM, Fernández PF, Sánchez CA. Síndrome de Bouveret resuelto mediante litotricia mecánica endoscópica. Rev Esp Enferm Dig. 2006; 98: 789-798.

5. Katsinelos P, Dimiropoulos S, Tsolkas P et al. Successful treatment of a duodenal bulb obstruction caused by a gallstone (Bouveret’s syndrome) after endoscopic mechanical lithotripsy. Surgical Endoscopy. New-York: Springer-Verlag; 2002.

6. Koulaouzidis A, Moschos J. Bouveret’s syndrome. Narrative review. Ann Hepatol. 2007; 6 (2): 89-91.

7. Iancu C, Bodea R, Al Hajjar N, Todea-Iancu D, Bălă O, Acalovschi I. Bouveret syndrome associated with acute gangrenous cholecystitis. J Gastrointestin Liver Dis. 2008; 17 (1): 87-90.

8. Puri V, Lee RW, Amirlak BA, Lanspa SJ, Fitzgibbons RJ. Bouveret syndrome and gallstone ileus. Surg Laparosc Endosc Percutan Tech. 2007; 17 (4): 328-330.

9. Zuegel N, Hehl A, Lindemann F, Witte J. Advantages of one-stage repair in case of gallstone ileus. Hepatogastroenterology. 1997; 44: 59-62.

10. Warshaw AL, Bartlett MK. Choice of operation for gallstone intestinal obstruction. Ann Surg. 1966; 164: 1051-1055.

11. Coopermann AM, Dickson ER, ReMine WH. Changing concepts the surgical treatment of gallstone ileus: review of 15 cases with emphasis on diagnosis and treatment. Ann Surg. 1968; 167: 377-383.

12. Sica GS, Sileri P, Gaspari AL. Laparoscopic treatment of Bouveret’s syndrome presenting as acute pancreatitis. J Laparoendosc Adv Surg Tech A. 2005; 9: 472-475.