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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jan 16, 2025; 17(1): 101534
Published online Jan 16, 2025. doi: 10.4253/wjge.v17.i1.101534
Published online Jan 16, 2025. doi: 10.4253/wjge.v17.i1.101534
Cholecystogastric fistula presenting as pyloric obstruction - a Bouveret’s syndrome: A case report
Yi Yang, Ding-Fu Zhong, Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China
Author contributions: Yang Y helped write and edit the manuscript and collect data; Zhong DF helped write the paper; all the authors have read and approved the content of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi Yang, MD, Attending Doctor, Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, No. 267 Danxi East Road, Jindong District, Jinhua 321000, Zhejiang Province, China.
Received: September 19, 2024
Revised: December 2, 2024
Accepted: December 27, 2024
Published online: January 16, 2025
Processing time: 120 Days and 0.8 Hours
Revised: December 2, 2024
Accepted: December 27, 2024
Published online: January 16, 2025
Processing time: 120 Days and 0.8 Hours
Core Tip
Core Tip: Bouveret’s syndrome is a rare form of cholelithiasis leading to gastric outlet obstruction. Diagnosis is confirmed through imaging, particularly abdominal computed tomography, with Rigler's triad serving as a key diagnostic indicator. Endoscopic removal of the gallstone is the first-line treatment, but surgery is required if endoscopic methods fail, especially in cases with severe adhesions. In this case, a 60-year-old male had successful endoscopic stone removal. Laparotomy was later performed for fistula repair and cholecystectomy after laparoscopy failed. This case highlights the importance of early diagnosis and flexible treatment, combining endoscopy and surgery for the best outcomes.