Bouveret’s syndrome: description of 8 cases
https://doi.org/10.24884/0042-4625-2025-184-4-70-76
Abstract
The article describes 8 cases of Bouveret’s syndrome, a rare form of obstructive duodenal obstruction caused by the migration of a large gallstone through a biliodigestive fistula. BS diagnosis is not significantly difficult when using EGDS. The need to use high-tech methods of radiation diagnostics, such as MRI or MSCT, rarely occurs. Treatment should start with an endoscopic intervention aimed at moving the calculus into the stomach, followed by lithotripsy and extraction. However, lithotripsy in the lumen of the duodenum carries the risk of distal movement of fragments, which can lead to the development of obstructive small intestinal obstruction. In the absence of the effect of endoscopic intervention, it is recommended to perform lithoextraction through gastric access, without intervention on the gallbladder.
About the Authors
F. B. Alidjanov
Republican Research Center of Emergency Medicine; Center for Professional Qualification Development of Medical Workers
Uzbekistan
Competing Interests:
Uzbekistan
Alidjanov Fatikh B., Dr. of Sci. (Med.), Professor, Professor of the Department of Emergency Medical Care
2, Kichik Khalka Yo’li str., Tashkent, 100115
51, Parkent str., Tashkent, 100007
Competing Interests:
The authors declare no conflict of interest.
F. A. Khadjibaev
Republican Research Center of Emergency Medicine; Center for Professional Qualification Development of Medical Workers
Uzbekistan
Competing Interests:
Uzbekistan
Khadjibaev Farhod A., Dr. of Sci. (Med.), Professor, Head of the Departments of Emergency Surgery and Transplantology; Professor of the Department of Emergency Medical Care
2, Kichik Khalka Yo’li str., Tashkent, 100115
51, Parkent str., Tashkent, 100007
Competing Interests:
The authors declare no conflict of interest.
A. B. Kurbonov
Republican Research Center of Emergency Medicine
Uzbekistan
Competing Interests:
Uzbekistan
Kurbonov Anvar B., Dr. of Sci. (Philosophy), Surgeon of the Emergency Surgery Department № 1
2, Kichik Khalka Yo’li str., Tashkent, 100115
Competing Interests:
The authors declare no conflict of interest.
B. I. Shukurov
Republican Research Center of Emergency Medicine; Center for Professional Qualification Development of Medical Workers
Uzbekistan
Competing Interests:
Uzbekistan
Shukurov Bobir I., Cand. of Sci. (Med.), Senior Research Fellow, Associate Professor, Department of Emergency Medical Care; Senior Research Fellow of the Emergency Surgery Department
2, Kichik Khalka Yo’li str., Tashkent, 100115
51, Parkent str., Tashkent, 100007
Competing Interests:
The authors declare no conflict of interest.
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Review
For citations:
Alidjanov F.B., Khadjibaev F.A., Kurbonov A.B., Shukurov B.I. Bouveret’s syndrome: description of 8 cases. Grekov's Bulletin of Surgery. 2025;184(4):70-76. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-4-70-76
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