The usual cause is an underlying bilio-enteric fistula between the gallbladder and duodenum (cholecystoduodenal fistula) through which the stone migrates into. Gallstone ileus is peculiar because it can take the form of a high intestinal obstruction followed by a low intestinal obstruction as the stone travels down the. Cholecystoduodenal fistulas usually are caused by gallstones, eroding through the contact point of the inflamed gallbladder with the adjacent bowel, in contrast.

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Introduction Bouveret syndrome is a rare form of gallstone ileus which occurs due to impaction of the stone in the duodenum. Purchase access Subscribe now.

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Cholecystoduodwnal was no fever, hematemesis, melaena, or jaundice. According to several papers, laparoscopic cholecystectomy is often successfully performed cholecystoduocenal these cases Check for errors and try again. Per-operatively, the gallbladder was collapsed with dense supracolic adhesions and a frozen C-loop. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. The usual cause is an underlying bilio-enteric fistula between the gallbladder and duodenum cholecystoduodenal fistula through which the stone migrates into the bowel. Our case is of 42 years old female. Contracted chronic cholecystitis with cholecystocuodenal is diagnosed in ultrasonographic examination.


A year-old male presented to the casualty department with complaints of recurrent bilious vomiting and right upper quadrant pain since 15 days. After that fistula occurs. Thick slab MRCP demonstrating the cholecystoduodenal fistula between the collapsed gallbladder and second part of duodenum.

Cholecystoduodenal Fistula: A Case Report | Insight Medical Publishing

Can’t read the image? To identify the incidence of bilioenteric fistula in patients with gallstones, its clinical presentation, diagnosis through imaging study, surgical management, postoperative complications, and follow-up.

Successful treatment of gallstone ileus Bouveret’s syndrome by using extracorporeal shock wave lithotripsy and argon plasma coagulation. Log in Sign up. This article has been cited by other articles in PMC. Coronal T2W image showing a large calculus marked with a star lodged in the third part of duodenum with proximally dilated gas-filled bowel. The incidence of cholecystoduodenal fistula was similar to that reported in the medical literature. Thank you cho,ecystoduodenal updating your details.

Subsequent radiographs may demonstrate a shift in position of the radio-opaque stone. Images in clinical medicine. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Case 2 Case 2.

Prompt and correct diagnosis of this entity, therefore, is of paramount importance in managing these patients with a relatively high mortality. Succcessful laparoscopic treatment of cholecystoduodenal fistula.

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Conclusion To conclude, Bouveret syndrome is an unusual and a rare complication of gallstone disease.

Preoperative diagnosis of the fistula may be impossible. Axial T2W image revealing cholecystoduodenal fistula marked with arrow. Open in a separate window.

For prevent injury of duodenum, wall of the gall bladder was incised on the duodenum so duodenum was separated from the gall bladder. Singh N, Stempel K. Case 1 Case 1. Four patients, 2 men and distula women, were identified with cholecystoduodenal cyolecystoduodenal. It appeared as a large hyperechoic lesion casting distal acoustic shadow and was causing proximal bowel dilatation involving the duodenum and stomach. Bilioenteric fistulas are the abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and is a rare complication of an untreated gallstone in the majority of cases.

January 09, ; Published Date: However, the ectopic location of the gallstone within the intestinal lumen may be confused with an orthotopic location in a contracted gallbladder.

In our patient, endoscopic extraction of the impacted stone was initially performed failing which the patient was taken up for surgery.