Primer caso publicado de síndrome de Bouveret asociado a perforación duodenal y vesicular al retroperitoneo
- María Victoria Vieiro Medina 1
- Ramón Gómez Sanz 1
- Eneida Bra Insa 1
- Iván Domínguez Sánchez 1
- Marta de la Fuente Bartolomé 1
- David Díaz Pérez 1
- Oana Anisa Nutu 1
- Felipe de la Cruz Vigo 1
- 1 Hospital Universitario 12 de Octubre. Madrid
ISSN: 2340-416, 1130-0108
Year of publication: 2016
Volume: 108
Issue: 6
Pages: 376-378
Type: Article
More publications in: Revista Española de Enfermedades Digestivas
Abstract
We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret’s syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum. The postoperative course was uneventful except for a laparotomy infection.