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World J Gastroenterol. Oct 28, 2013; 19(40): 6943-6946
Published online Oct 28, 2013. doi: 10.3748/wjg.v19.i40.6943
Published online Oct 28, 2013. doi: 10.3748/wjg.v19.i40.6943
Laparoscopic treatment of an upper gastrointestinal obstruction due to Bouveret’s syndrome
Dong Yang, Zhi-Jun Duan, Department of Digestion, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Zhen Wang, Department of Clinical Laboratory, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Shi Jin, Department of Laparoscopic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
Author contributions: Yang D and Wang Z contributed equally to this work; Yang D, Wang Z and Duan ZJ designed the report; Yang D and Duan ZJ served as attending doctors for the patient; Jin S performed the laparoscopic treatments; Yang D and Wang Z organized and wrote the paper.
Correspondence to: Zhi-Jun Duan, MD, Department of Digestion, The First Affiliated Hospital of Dalian Medical University, 222 Zhongshan Road, Dalian 116011, Liaoning Province, China. cathydoctor@yahoo.com
Telephone: +86-411-83635963 Fax: +86-411-82632383
Received: July 24, 2013
Revised: August 31, 2013
Accepted: September 15, 2013
Published online: October 28, 2013
Revised: August 31, 2013
Accepted: September 15, 2013
Published online: October 28, 2013
Core Tip
Core tip: Bouveret’s syndrome is a rare cause of gastric outflow obstruction and is easily misdiagnosed. In this case, the patient was middle-aged and did not present any chronic systemic disease. The clinical symptoms were atypical, with neither infection nor abdominal pain. The onset suggested peptic ulcer and pyloric obstruction, which was initially suspected as gastrolithiasis. An imaging study from a year prior provided important data regarding the evolution and diagnosis of the disease. The successful application of laparoscopic therapy to treat Bouveret’s syndrome has seldom been reported. This patient obtained satisfactory results after laparoscopic duodenotomy for gallstone removal and subtotal cholecystectomy.