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06 September 2019 : Case report  Japan

Successful Treatment of Bouveret Syndrome by Electrohydraulic Lithotripsy and Double Balloon Endoscopy

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease

Ryoko Futai1AEF*, Takao Iemoto1F, Yuta Inoue1F, Mika Miki1F, Tetsuyuki Abe1F, Shohei Abe1F, Ayaka Sasaki1F, Katsuhide Tanaka1F, Tomoo Yoshie1F, Takayuki Ose1F, Teruhisa Morikawa1F, Tsuyoshi Sanuki1AEF

DOI: 10.12659/AJCR.917964

Am J Case Rep 2019; 20:1320-1324

Abstract

BACKGROUND: Bouveret syndrome is a rare complication of cholelithiasis that often leads to symptoms of gastric outlet obstruction.

CASE REPORT: An 84-year-old woman developed acute abdominal symptoms due to impaction of a gallstone in the horizontal part of the duodenum. The diagnosis was supported by abdominal computed tomography and double balloon endoscopy. Considering her advanced age and the position of the calcified gallstone, we decided to perform electrohydraulic lithotripsy using double balloon endoscopy for treatment. Finally, the impacted stone was removed with reduced size. She was discharged home 10 days after admission without recurrence.

CONCLUSIONS: This case illustrates that electrohydraulic lithotripsy using double balloon endoscopy is very effective, especially for treatment of Bouveret syndrome caused by gallstone impaction in the horizontal part of the duodenum.

Keywords: Gallstones, Ileus, Lithotripsy, Abdomen, Acute, Aged, 80 and over, Duodenal Obstruction, Endoscopy

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923