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Peer-reviewedCC BYACG case reports journal

Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.

  • Meghana N Vankina1
  • Jayaprakash Sreenarasimhaiah2
  1. 1Tulane University School of Medicine, New Orleans, LA.
  2. 2Division of Gastroenterology, Baylor Scott & White, Irving, TX.
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Abstract

Bouveret syndrome is a rare cause of gastric outlet obstruction due to gallstone migration through a bilioenteric fistula. We present a 76-year-old woman with multiple comorbidities who developed Bouveret syndrome and was treated with endoscopic holmium laser lithotripsy. Although the obstructing stone was successfully fragmented and removed, the patient later developed a jejunal perforation. She was ultimately transitioned to hospice care. To our knowledge, jejunal perforation after endoscopic laser lithotripsy for Bouveret syndrome has not been previously reported. This case highlights a rare but serious complication of minimally invasive endoscopic management, particularly in high-risk patients with large stones.

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Cite

BibTeXRIS
BibTeX
@article{vankina2026endoscopic,
  title = {{Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.}},
  author = {Meghana N Vankina and Jayaprakash Sreenarasimhaiah},
  journal = {ACG case reports journal},
  year = {2026},
  month = oct,
  doi = {10.14309/crj.0000000000002372},
  url = {https://europepmc.org/article/MED/42910379},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.
AU  - Meghana N Vankina
AU  - Jayaprakash Sreenarasimhaiah
PY  - 2026
DA  - 2026/10/21
JO  - ACG case reports journal
DO  - 10.14309/crj.0000000000002372
UR  - https://europepmc.org/article/MED/42910379
AB  - Bouveret syndrome is a rare cause of gastric outlet obstruction due to gallstone migration through a bilioenteric fistula. We present a 76-year-old woman with multiple comorbidities who developed Bouveret syndrome and was treated with endoscopic holmium laser lithotripsy. Although the obstructing stone was successfully fragmented and removed, the patient later developed a jejunal perforation. She was ultimately transitioned to hospice care. To our knowledge, jejunal perforation after endoscopic laser lithotripsy for Bouveret syndrome has not been previously reported. This case highlights a rare but serious complication of minimally invasive endoscopic management, particularly in high-risk patients with large stones.
SN  - 2326-3253
ER  -