Gallstone Disease: Cholecystitis, Mirizzi Syndrome, Bouveret Syndrome, Gallstone Ileus

Surg Clin North Am. 2019 Apr;99(2):231-244. doi: 10.1016/j.suc.2018.12.006.

Abstract

Gallstone disease is a leading cause of morbidity in the United States and usually requires surgical or endoscopic interventions for diagnosis and/or treatment. Although gallstone disease is classically associated with the inflammatory sequela of cholecystitis, gallstones can also contribute to other clinical presentations such as gallstone ileus, Mirizzi syndrome, and Bouveret syndrome. This article explores the common-and uncommon-causes of surgical pathology owing to gallstones with an emphasis on clinical identification, diagnostics, and management options.

Keywords: Bouveret syndrome; Cholecystectomy; Cholecystitis; Ileus; Mirizzi syndrome.

Publication types

  • Review

MeSH terms

  • Cholecystitis / diagnosis*
  • Cholecystitis / etiology
  • Cholecystitis / therapy
  • Gallstones / diagnosis*
  • Gallstones / etiology
  • Gallstones / therapy*
  • Humans
  • Ileus / diagnosis*
  • Ileus / etiology
  • Ileus / therapy
  • Mirizzi Syndrome / diagnosis*
  • Mirizzi Syndrome / etiology
  • Mirizzi Syndrome / therapy