Successful treatment of duodenal bulb obstruction caused by a gallstone (Bouveret's syndrome) after endoscopic mechanical lithotripsy.
Because of acute symptoms in the upper abdomen, upper gastrointestinal endoscopy was performed in a 68-year-old man. A large perforated gallstone was embedded in the duodenum, causing complete obstruction of the duodenal bulb. The stone was crushed successfully by endoscopic mechanical lithotripsy. The patient was referred for surgery, and was discharged after a successful and uneventful cholecystectomy.
Katsinelos
P
P
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece.
Dimiropoulos
S
S
Tsolkas
P
P
Baltagiannis
S
S
Kapelidis
P
P
Galanis
I
I
Papaziogas
B
B
Georgiadou
E
E
Vasiliadis
I
I
D000368:Aged; D002763:Cholecystectomy / Q000379:methods; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D004378:Duodenal Diseases / Q000209:etiology* / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D008096:Lithotripsy / Q000379:methods; D008297:Male; D013577:Syndrome