Bouveret syndrome associated with acute gangrenous cholecystitis.
An 89-year-old patient was hospitalized with signs of acute lithiasic cholecystitis and gastric emptying failure. The decision for surgery was taken and a subhepatic block was evidenced, caused by a perforated gangrenous cholecystitis with pericholecystic abscess, a cholecysto-antroduodenal fistula with two gallstones, 9/5 and 4/3 cm in size, impacted in the duodenum. It was necessary to perform an Y-en-Roux antroduodenojejunal anastomosis because an antroduodenal parietal defect resulted after the removal of the gangrenous gallbladder. The immediate and long term postoperative evolution in terms of anastomosis functionality was good.
Iancu
Cornel
C
3rd Surgical Clinic Cluj-Napoca, Iuliu Hatieganu University of Medicine and Pharmacy, Str. Croitorilor nr. 19-21, 400162, Cluj-Napoca, Romania. dr_cornel_iancu@yahoo.com
Bodea
Raluca
R
Al Hajjar
Nadim
N
Todea-Iancu
Dana
D
Bălă
Ovidiu
O
Acalovschi
Iurie
I
D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D041881:Cholecystitis, Acute / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D004378:Duodenal Diseases / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005734:Gangrene / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013577:Syndrome