Abstract

VIEIRO-MEDINA, María Victoria et al. First case reported of Bouveret's syndrome associated to duodenal and biliary perforation to retroperitoneum. Rev. esp. enferm. dig. [online]. 2016, vol.108, n.6, pp.376-378. ISSN 1130-0108.

We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret's syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum. The postoperative course was uneventful except for a laparotomy infection.

Keywords : Bouveret's syndrome; Gallstone ileus; Cholecystoduodenal fistula; Duodenal perforation.

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