[Gallstone duodenal obstruction or Bouveret's syndrome. Apropos of two cases].
Bouveret's syndrome is a rare form of Gallstone Ileus, characterized by its duodenal site after migration through a cholecysto-duodenal fistula in almost all cases. The two cases reported emphasize the interest of endoscopy in its early diagnosis. A therapeutic schema is proposed, based upon a systematic initial endoscopic extraction trial. The surgical treatment when needed is discussed in its modalities, and adapted to a reasonable evaluation of general and local conditions.
Alame
A
A
Service de Chirurgie A, Hôpital Manchester, Charleville, Mezières.
Solovei
G
G
Samarcq
B
B
Favriel
J M
JM
Fauchart
J P
JP
Petit
J
J
Glavier
F
F
D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000150:complications*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013577:Syndrome