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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Enterolithotomy and extrication of the stone was done and a 6 cm sized dirty cholecystodupdenal pigment stone was delivered [ Figure 6 ]. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account.

All the patients underwent surgical treatment and the diagnostic and therapeutic management of each of them was analyzed. Get free access to newly published articles. Footnotes Source of Support: Pathologic examination result was benign. These fistulas can cause diverse clinical consequences and in some cases be life-threatening to the patient. Rev Esp Enferm Dig. Bouveret syndrome is a rare form of gallstone ileus which occurs due to impaction of the stone in the duodenum. It is considered the most common type of enterobiliary fistulation.

Author information Copyright and License information Disclaimer. Laparoscopic cholecystectomy was intended for the patient, this was converted to open cholecystectomy because of the dense adhesions between gall bladder and duodenum.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Cholecystoduodenal fistula refers to a fistulous connection between the gallbladder and the duodenum. Bouveret syndrome was first described by Leon Bouveret in Images in clinical medicine.


In our patient, endoscopic extraction of the impacted stone was initially performed failing which the patient was taken up for surgery. Create a free personal account to download free article PDFs, sign up for alerts, and more.

The verses of Zeta 1 describe this journey. Case Report A year-old male presented to the casualty department with complaints of recurrent bilious vomiting and right upper quadrant pain since 15 days. This may be especially valuable in demonstrating isoattenuating stones and in patients who are unable to tolerate oral contrast medium. Case 2 Case 2. 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.

Coronal T2W image revealing cholecystoduodenal fistula marked with arrow. The patient showed smooth recovery up to the 5 th post-operative day when he developed sepsis and he succumbed to multi-organ system failure on the 10 th day.

Appearance on CT and upper gastrointestinal radiography before and after stone obturation. To conclude, Bouveret syndrome is an unusual and a rare complication of gallstone disease. Indian J Radiol Imaging.

Cholecystoduodenal fistula | Radiology Reference Article |

Sign in to customize your interests Sign in to your personal account. His routine blood and urine investigations were within normal limits. Upper gastrointestinal GI endoscopy of the patient revealed a cholecystoduodenal fistula in the second part of duodenum. Two of the patients presented with acute cholangitis and 2 presented with bowel obstruction due to gallstone ileus. Coronal T2W image showing a large calculus marked with a star lodged in the third part of duodenum with proximally dilated gas-filled bowel.


Case 1 Case 1. There was no fever, hematemesis, melaena, or jaundice. The cholecystoduodenal fistula was well demonstrated on thick slab images [ Figure 5 ]. Pneumobilia may be present as a result 6. After that fistula was visualized Figure 1.


This is rather influenced greatly by the delay in establishing a correct diagnosis and unjustified delay in intervention. Support Radiopaedia and see fewer ads. 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.

Laparoscopic treatment of Bouveret’s syndrome presenting as acute pancreatitis. According to several papers, laparoscopic cholecystectomy is often successfully performed in these cases Support Center Support Center.

Bouveret syndrome: Primary demonstration of cholecystoduodenal fistula on MR and MRCP study

Thank you for updating your details. Discussion Bouveret syndrome was first described by Chlecystoduodenal Bouveret in Cholecysto duodenal fistulation Cholecysto duodenal fistulas Cholecysto-duodenal fistula Cholecystoduodenal fistulae. Create a free personal account to access your subscriptions, sign up for alerts, and more. Bouveret’s syndrome in Melbourne. Conclusion To conclude, Bouveret syndrome is an unusual and a rare complication of gallstone disease.

January 09, ; Published Date: Cholecystectomy was done and fistula was sutured. Open in a separate window. Unable to process the form.