Bouveret syndrome with double fistula - Case report
Abstract
In the study we have shown an example of an elderly woman who was admitted to the ER suffering from constant vomiting and accompanying melena. Due to the clinical symptoms of high gallstone ileus and a short preoperative procedure the patient was submitted to an urgent surgery during which we found two concretions, one of which was in the duodenum and was the cause of ileus. In literature such cases are described as Bouveret's syndrome and it is a rare case of ileus. Additionally as a concurrent medical report we also had Mirizzi's syndrome. We proceeded with the surgery and finalized it as described. The patient successfully underwent the surgery. The postoperative progress NAD. The patient was discharged in a generally good condition. In conclusion, we state that in the case of elderly people with signs of high ileus Bouvert's syndrome must be taken into consideration and in most cases considering old age one should try to deal with ileus by removing a concretion using endoscopic procedure. If that is impossible then a traditional surgery is required.
Downloads
Copyright (c) 2008 Acta Chirurgica Croatica
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors hereby authorize the Acta Chirurgica Croatica (ACC) to publish their work.
The authors are aware that although ACC is Open Access journal, the copyright of all material published is vested in ACC. Open access articles are freely available to read, download, and share from the time of publication under the terms of the Creative Commons License Attribution ‐ NonCommerical No Derivative (CC BY‐NC‐ND) license. This license does not permit reuse for any commercial purposes nor does it cover the reuse or modification of individual elements of the work (such as figures, tables, etc.) in the creation of derivative works without specific permission of ACC and appropriate acknowledgment of its source. The authors permit ACC to allow third parties to copy any part of the work without asking for permission, provided that the reference to the source is given and that this is not done for commercial purposes. Except for copyright, other proprietary rights related to the work (e.g., patent or other rights to any process or procedure) shall be retained by the author. To reproduce any text, figures, tables, or illustrations from this work in future works of their own, the author must obtain written permission from ACC.
Each of the author(s) hereby also grants permission to ACC to use such author’s name and likeness in connection with any past, present or future promotional activity by ACC, including, but not limited to, promotions for upcoming issues or publications, circulation solicitations, advertising or other publications in connection with ACC. Also, each of the author(s) hereby grants permission to ACC to use the manuscript in editorial research related to the improvement of editorial conduct, decision making, and issues related to peer review.
Each of the author(s) hereby releases and shall indemnify and hold harmless ACC and its successors, assigns, licensees, officers, directors, employees, and their respective heirs and representatives from and against any and all liabilities, losses, damages and expenses arising out of any claims of any kind that may be asserted against any of them based in whole or in part on any breach of the author(s)’ representations or warranties herein or in the work or anything contained in the work, including but not limited to any claims for copyright infringement or violation of any rights of privacy or publicity.
