Gallstone obstructing the duodenum. Report of two cases of Bouveret ’s syndrome

We present two cases of Bouveret’s syndrome. The first is a 63-year-old female patient with a 4 cm ga llstone obstructing the third part of the duodenum. The patient underwent prompt surgery and the gallstone was removed through the jejunum. The other patient’s course, an 88–year-old male, was more complicated. After fluid resuscitation and an attempt at endoscopic removal, a gallstone obstructi ng the first part of the duodenum was surgically removed through a gastrotomy. Both patients recovered fully and were discharged. Both cases presented many dilemmas and challenges from the diagnosis to the final management.
Source: Hellenic Journal of Surgery - Category: Surgery Source Type: research