Cholecystogastric fistula in Bouveret syndrome
Carlos Eduardo Rey Cháves, Carlos José Villamil, Saralia Ruiz, Valentina Galvis, Danny Conde, Juan Carlos Sabogal Olarte
Abstract
INTRODUCTION AND IMPORTANCE: Cholelithiasis is the benign bile pathology with major prevalence. A rare condition has been described, when a stone migrates through the duodenum causing small bowel obstruction (SBO), it's known as Bouveret syndrome, and it's attributed to almost 5% of SBO. Just 2% of the cases present with the migration of the stone through a fistula between gastric chamber and gallbladder, with limited reports in the literature. CLINICAL FINDINGS: We present a case of an 87-year-old male with Bouveret syndrome and a cholecystogastric fistula with a stone in the gastric chamber who underwent laparoscopic gastrotomy to resolve the clinical case. CONCLUSION: Bouveret syndrome remains to be a rare condition in benign bile pathology. Individualized treatment should be performed and multidisciplinary approach leads to improved outcomes for the patient.