Abstract
Bouveret’s syndrome is the obstruction of the duodenum due to a gallstone. It is a rare condition, known for over a century that continues to confound emergency room physicians and surgeons to this day. We present two cases of Bouveret’s syndrome. The first is a 63-year-old female patient with a 4 cm gallstone 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 obstructing 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.
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Kochylas, N., Kokkinos, C. & Nafas, R. Gallstone obstructing the duodenum. Report of two cases of Bouveret’s syndrome. Hellenic J Surg 89, 109–113 (2017). https://doi.org/10.1007/s13126-017-0392-4
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DOI: https://doi.org/10.1007/s13126-017-0392-4