A Bouveret Syndrome

A case report

  • Mario Roldan Resident


An exceedingly rare clinical malady, Bouveret syndrome manifests with signs and symptoms of gastric outlet obstruction. Usually a complication of cholelithiasis, its rare manifestation has made it difficult to create standardized protocols for its management. Here we present a case report which did involve multiple imaging modalities, and treatment approaches in order to provide the patient with relief that was only provided by and eventual open approach to stone extraction. Originally described in 1896 by Leon Bouveret, a French internist, this syndrome continues to carry a significant degree of morbidity1. While an ideal approach to surgical treatment involves both endoscopic and laparoscopic intervention, the surgical treatment team must be prepared to convert to open for resolution to this rare clinical presentation.