CASE REPORTS

Bouveret Syndrome Associated with Acute Gangrenous Cholecystitis

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Cornel Iancu, Raluca Bodea, Nadim Al Hajjar, Dana Todea-Iancu, Ovidiu Bălă, Iurie Acalovschi

3rd Surgical Clinic Cluj-Napoca, University of Medicine and Pharmacy, Cluj-Napoca, Romania


Abstract

An 89-year-old patient was hospitalized with signs of acute lithiasic cholecystitis and gastric emptying failure. The decision for surgery was taken and a subhepatic block was evidenced, caused by a perforated gangrenous cholecystitis with pericholecystic abscess, a cholecysto-antroduodenal fistula with two gallstones, 9/5 and 4/3 cm in size, impacted in the duodenum. It was necessary to perform an Y-en-Roux antroduodenojejunal anastomosis because an antroduodenal parietal defect resulted after the removal of the gangrenous gallbladder. The immediate and long term postoperative evolution in terms of anastomosis functionality was good.

Key words
Gangrenous cholecystitis - Bouveret syndrome -Y-en- Roux antroduodenojejunal anastomosis