"The all in one lithotripsy show – Laser, Mechanical, Soehendra" – An endoscopic management of Bouveret syndrome

Abstract Text An 80 year old female, with pain and vomiting, jaundice CT Abdomen- Dilated stomach and gastric outlet obstruction secondary to large layered stone in duodenal bulb with bilio-duodenal fistula. Endoscopic treatment- Very large stone more than 10cms, impacted in D1. Attempted with laser through a gastroscope. Partial response. Then with a mechanical lithotriptor through ERCP scope. Impacted at pyloru, broken with Soehendra lithotriptor.

Outcome and follow up: Liquid diet 4 hours post procedure. Discharged after 2 days. Extremly well on 4 weeks follow up. Discussion and implications

Bouveret syndrome can be managed using a combination of laser, mechanical Soehendra lithotripsy.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/308ba225-0297-47f8-972c-6f48e0e0e84a/Uploads/16849_Mech-Laser_lithotripsy%20show%20for%20Bouveret%20syndrome%20with%20voice%20over.mp4

 

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Conflicts of Interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
27 March 2025