Osorio-Euan Alejandro, Ayuso-Diaz Victor M, Ferraez-Perez Jaime A, Moreno-Enriquez Angelica, Hurtado-Miranda Grecia F
Surgery, Hospital Regional Elvia Carrillo Puerto, Institute for Social Security and Services for State Workers (ISSSTE) Facultad de Medicina de la Universidad Autónoma de Yucatán, Yucatan, MEX.
Genomic-Metabolic Unit, University Marista Of Merida, Yucatan, MEX.
Cureus. 2024 Dec 5;16(12):e75175. doi: 10.7759/cureus.75175. eCollection 2024 Dec.
Bouveret's syndrome is a rare disorder that causes upper gastrointestinal obstruction, typically in elderly patients with a history of chronic cholelithiasis. We present an unusual case of a 58-year-old woman with untreated vesicular lithiasis who developed Bouveret's syndrome. She presented with severe abdominal pain, nausea, vomiting, and abdominal distension. Imaging studies confirmed the presence of an impacted gallstone in the duodenum, causing obstruction. The patient underwent successful surgery with removal of the stone and repair of the bilioenteric fistula. Early diagnosis and prompt surgical intervention are essential to prevent complications such as bowel perforation and sepsis. This case highlights the importance of considering Bouveret's syndrome in the differential diagnosis of bowel obstruction, particularly in elderly patients with a history of cholelithiasis.
布韦雷氏综合征是一种罕见的疾病，可导致上消化道梗阻，多见于有慢性胆石症病史的老年患者。我们报告一例不寻常的病例，一名58岁未治疗的胆囊结石女性患者患上了布韦雷氏综合征。她表现为严重腹痛、恶心、呕吐和腹胀。影像学检查证实十二指肠有一枚嵌顿性胆结石，导致梗阻。患者接受了成功的手术，取出结石并修复胆肠瘘。早期诊断和及时的手术干预对于预防诸如肠穿孔和败血症等并发症至关重要。该病例突出了在肠梗阻的鉴别诊断中考虑布韦雷氏综合征的重要性，尤其是在有胆石症病史的老年患者中。
