Bouveret Syndrome

Description

Bouveret syndrome: rare form of gastric outlet obstruction following the passage of a gallstone from the gallbladder to the duodenum or pylorus through a bilioenteric fistula


History of Bouveret Syndrome

1770 Beaussier

La vésicule du fiel communique par son corps, avec l’orifice inférieur de l’estomac… Le canal cholédoque est plus long & plus épais qu’il ne doit être ; il se trouve obstrué vers l’extrémité où il entre dans le duodenum…

Il reste à savoir si l’oblitération de ce canal est naturelle, ou si quelque maladie n’a point ouvert la vésicule, peut-être déjà attachée à l’estomac ; c’est ce qu’aucune maladie ni aucun accident n’ont annoncé pendant le cours d’une vie de soixante ans. – Beaussier 1770

The gallbladder communicates directly with the lower orifice of the stomach… The common bile duct is longer and thicker than usual; it is obstructed near the point it enters the duodenum.

It remains to be determined whether the obliteration of this duct is natural, or whether some disease opened the gallbladder, perhaps already attached to the stomach. This is uncertain, as no illness or accident indicated such a condition during a 60-year lifetime. – Beaussier 1770

1841 – Auguste Bernard Bonnet (1791-1873)

1841 Bonnet presented the first case of duodenal obstruction (gallstone impaction in the duodenal bulb)

1890 Courvoisier published the first 131 cases of gallstone ileus, secondary to gallbladderduodenal fistul

1896 Bouveret


Associated Persons

Alternative names
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References

Historical references

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BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | On Call: Principles and Protocol 4e| Eponyms | Books |

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