Gallstone Ileus, Bouveret's Syndrome and Choledocholithiasis in a Patient with Billroth II Gastrectomy – A Case Report of Combined Endoscopic and Surgical Therapy
نویسندگان
چکیده
Intestinal obstruction due to gallstone is a rare, but quite severe gastrointestinal disorder, which always requires a rapid and correct diagnosis to achieve optimal therapy. Digestive endoscopy is an important method to determine the level of the bowel obstruction and to plan an optimal therapeutic strategy. Our present case demonstrates that in a high-risk patient, a combined endoscopic and surgical therapy is the best choice to solve the obstruction of the colon, of the stomach and of the common bile duct caused by multiple gallstones.
منابع مشابه
Endoscopic treatment in an elderly patient with Bouveret syndrome
We report the case of a 94-year-old woman with Bouveret's syndrome, where endoscopic treatment was performed. Bouveret’s syndrome is a gastric outlet obstruction due to gallstone impaction within the duodenum. It is the least frequent presentation of gallstone ileus. Gallstone ileus is a complication of cholelithiasis and has a high morbidity and mortality. Therefore, it requires an early diagn...
متن کامل[A case of afferent loop syndrome with acute cholangitis developed after percutaneous transhepatic cholangioscopic lithotripsy for treatment of choledocholithiasis in a patient who underwent Billroth II gastrectomy].
Afferent loop syndrome is a rare complication which can occur in patients with Billroth II gastrectomy. Bile and pancreatic juice is congested at afferent loop in the syndrome. This syndrome can progress rapidly to necrosis, perforation, or severe sepsis, and therefore early diagnosis and swift surgical intervention is important. But, cases of endoscopic or percutaneous transhepatic drainage ha...
متن کاملBouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser
BACKGROUND Bouveret's syndrome is an unusual presentation of duodenal obstruction caused by the passage of a large gallstone through a cholecystoduodenal fistula. Endoscopic therapy has been used as first-line treatment, especially in patients with high surgical risk. CASE PRESENTATION We report a 67-year-old woman who underwent an endoscopic attempt to fragment and retrieve a duodenal stone ...
متن کاملSuccessful Endoscopic Management of Bouveret's Syndrome in a Patient with Cholecystoduodenocolic Fistulae
Bouveret's syndrome, first described in 1896 by Léon Bouveret, is rare, limited to approximately 200 published case reports to date [Ariche et al.: Scand J Gastroenterol 2000;35:781-783]. It is a subgroup of gallstone ileus in which a cholecystoduodenal fistula allows the passage of a gallstone that obstructs the duodenum, causing gastric outlet obstruction. This case is unique as it describes ...
متن کاملRecurrent Choledocholethiasis After Billroth II Gastrectomy: A Combined Endoscopic-Laparoscopic Technique
Background and Objective: After gastrectomy, the incidence of cholelithiasis formation increases. However, as a result of adhesions and reversed anatomy, either the surgery or the endoscopy is technically difficult. The aim of this article was to evaluate whether a combined endoscopic-laparoscopic “rendezvous” technique is effective in eliminating choledocholithiasis after Billroth II gastrecto...
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