Bouveret Syndrome in a Cirrhotic Patient

Daniel T Gildea; Dalal Alhaqqan; Krystina Johnson; Amol S Rangnekar

doi:10.7759/cureus.32270

Bouveret Syndrome in a Cirrhotic Patient

Cureus. 2022 Dec 6;14(12):e32270. doi: 10.7759/cureus.32270. eCollection 2022 Dec.

Authors

Daniel T Gildea¹, Dalal Alhaqqan², Krystina Johnson², Amol S Rangnekar²

Affiliations

¹ Internal Medicine, MedStar Georgetown University Hospital, Washington, D.C., USA.
² Gastroenterology and Hepatology, MedStar Georgetown University Hospital, Washington, D.C., USA.

Abstract

Here, we present a case of Bouveret syndrome, a rare etiology of gallstone impaction in the setting of chole-enteric fistula, in a cirrhotic patient. This syndrome is most often seen in elderly patients with multiple comorbidities and as such has high morbidity and mortality rates. Because of its prevalence in this patient population and its rarity, there are no established guidelines for the workup and management of this disease. We discuss currently available options for management and thoughts on our comorbid patient and her clinical course.

Keywords: bouveret syndrome; cholethiasis; endoscopy; esophagogastroduodenoscopy (egd); gallbladder; gallstone; gallstone ileus.

Publication types

Case Reports