Bouveret Syndrome: A Surgery-Sparing Endoscopic Approach.
Document Type
Article
Publication Date
2-3-2025
Publication Title
Cureus
Abstract
Cholelithiasis is a common condition, and complications of gallstone disease include cholecystitis, cholangitis, pancreatitis, and, rarely, gallstone ileus or Bouveret syndrome. We present a case of a 79-year-old male with multiple comorbidities who was treated using endoscopic techniques to avoid the risks associated with surgery. The approach utilized holmium laser lithotripsy and electrohydraulic lithotripsy over multiple sessions to fragment and remove the large gallstone causing a duodenal obstruction. Conservative management of a subsequent duodenal perforation led to successful recovery. This case highlights the potential for endoscopic methods to manage gallstone ileus in high-risk patients, reducing complications and potentially avoiding surgery.
Volume
17
Issue
2
First Page
e78412
Recommended Citation
Glover CM, Rida A, Cay E, Ocasio G, Zolotarevsky E. Bouveret syndrome: a surgery-sparing endoscopic approach. Cureus. 2025 Feb 3;17(2):e78412. doi: 10.7759/cureus.78412. PMID: 40046355
DOI
10.7759/cureus.78412
ISSN
2168-8184
PubMed ID
40046355
