A Case of Bouveret’s Syndrome Treated Endoscopically with a Combination of Forceps Lithotripsy and Duodenal Dilatation

DOI Web Site

Bibliographic Information

Other Title
  • 鉗子による砕石と十二指腸拡張により内視鏡的に治療し得たBouveret症候群の1例
  • カンシ ニ ヨル サイセキ ト ジュウニシチョウ カクチョウ ニ ヨリ ナイシキョウテキ ニ チリョウ シエタ Bouveret ショウコウグン ノ 1レイ

Search this article

Abstract

<p>An 87-year-old woman with a history of pericholecystic abscess who was being treated conservatively with percutaneous gallbladder drainage presented to the emergency department complaining of abdominal pain. Contrast-enhanced computed tomography revealed gallstone migration into the duodenal bulb, and emergent gastrointestinal endoscopy confirmed a large gallstone occupying the duodenal bulb lumen. Endoscopic lithotripsy was performed with forceps, since the gallstone was soft. However, when the descending duodenum was examined following the lithotripsy to confirm its condition, the lumen was found to be severely stenosed; therefore, lithotripsy alone proved insufficient to allow passage of food. Surgery was considered difficult due to the poor general condition of the patient, and endoscopic balloon dilatation of the duodenum was performed. After confirming duodenal dilatation, the patient was able to resume oral intake and no recurrence of the gastrointestinal symptoms has been observed to date. This treatment strategy could be considered as being an effective option for patients with Bouveret’s syndrome who are at a high surgical risk.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top