Abstract

It is estimated that between 0.3% - 0.5% of patients with cholelithiasis have biliary ileus, of this small proportion, only between 1% - 3% is complicated by the syndrome described in 1896 by Leon Bouveret. Bouveret syndrome refers to the obstruction of the gastric outlet tract secondary to the passage and impactation of a gallstone in the duodenum, through a cholecystoduodenal fistula. It is most common in women, between the ages of 74 - 77 and is clinically characterized by pain, bloating, incoercible vomiting and anorexia.

Highlights

  • Gallstone disease is a common pathology in the general population with a high prevalence in western countries

  • It is estimated that between 0.3% - 0.5% of patients with cholelithiasis have biliary ileus, of this small proportion, only between 1% - 3% is complicated by the syndrome described in 1896 by Leon Bouveret

  • Bouveret syndrome refers to the obstruction of the gastric outlet tract secondary to the passage and impactation of a gallstone in the duodenum, through a cholecystoduodenal fistula

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Summary

Introduction

Gallstone disease is a common pathology in the general population with a high prevalence in western countries. Between 0.3% - 0.5% of patients with cholelithiasis will present with gallstone ileus, and of this small proportion, only between 1% and 3%, will be complicated by the syndrome described in 1896 by Leon Bouveret [1]. Bouveret’s syndrome is a form of gastric outlet obstruction, secondary to the passage and impaction of a gallstone in the duodenum through a cholecystoduodenal fistula [2]. It is more frequent in women between 74 - 77 years of age and is clinically characterized by pain, bloating, incoercible vomiting and anorexia [1]

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