Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Bouveret Syndrome
Introduction
Bouveret’s syndrome is a gastric outlet obstruction produced by a gallstone impacted in the distal stomach or proximal duodenum.
Demographics
Demographics
Occurs most commonly in elderly women with a mean age of 69 years.
Symptoms & Signs
Symptoms & Signs
The presenting clinical situation is variable and nonspecific but often includes nausea, vomiting, and epigastric pain.
Early diagnosis is important because mortality is historically high at 33%, although it has decreased to 12% in recent years.
Diagnosis
Diagnosis
- Rigler’s triad is characteristic findings of imaging studies:
- bowel obstruction
- pneumobilia
- ectopic gallstone
Treatment
Treatment
Endoscopy is preferred as a therapeutic option because removal may be performed with mechanical, electrohydraulic, or laser lithotripsy.
Surgery often is not desirable as the patients are often poor surgical candidates secondary to concomitant illnesses and advanced age.
References
References
- G. Brooks Brennan, Robert D. Rosenberg, and Sanjeev Arora. Bouveret Syndrome. RadioGraphics 2004 24: 1171-1175.
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]