File:Bouveret syndrome (Radiopaedia 32420-33374 Axial non-contrast 23).jpg

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Bouveret_syndrome_(Radiopaedia_32420-33374_Axial_non-contrast_23).jpg ‎(512 × 512 pixels, file size: 109 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 32420
  • Study ID: 33374
  • Image ID: 9247693
  • Plane projection: Axial
  • Modality: CT
  • System: Hepatobiliary
  • Findings: There is pneumobilia and air within the gallbladder. The gallbladder is contracted and inflamed.  The previously seen large gallbladder stone on prior CT (not shown) is no longer in the gallbladder and is likely in the inflamed duodenal bulb. The stomach is distended with fluid. The duodenum and small bowel distal to the bulb are decompressed. Findings likely represent new gallbladder fistula to the duodenal bulb, and a suspected large gallbladder stone has passed into the duodenal bulb causing gastric outlet obstruction. Cardiomegaly, pulmonary vascular congestion, and small pleural effusions, likely representing congestive heart failure. There is a 2.8 x 2.7 cm exophytic enhancing mass in the anterior mid right kidney. There is a non-obstructing calculus in the mid right kidney. There are several left renal cysts. Myomatous uterus. Chronic loculated collection in the lower anterior abdominal wall not clinically significant. Degenerative spine changes.
  • Study findings: Interval placement of Gastrojejunostomy (G-J) tube with the balloon external to the gastric lumen and within the ventral abdominal subcutaneous tissues/musculature. There is new small to moderate amount of pneumoperitoneum secondary to gastric perforation from displaced G-J tube.  The G-J tube tip is within the proximal jejunum. Nasogastric tube is also present with tip in the body of the stomach.  There is resolution/decompression of the gastric outlet obstruction. There is a persistent cholecystoenteric fistula with the proximal duodenum and a small amount of air within the gallbladder. There is a rim calcified gallstone within the proximal duodenum, better visualized on this study compared to the original CT. Remaining findings are unchanged.
  • Author location: Huntington, NY, United States
Date 26 Nov 2014
Source Bouveret syndrome
Author Eric F Greif
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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This file is ineligible for copyright and therefore in the public domain, because it is a technical image created as part of a standard medical diagnostic procedure. No creative element rising above the threshold of originality was involved in its production.

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current12:24, 18 June 2021Thumbnail for version as of 12:24, 18 June 2021512 × 512 (109 KB)Fæ (talk | contribs)Radiopaedia project rID:32420 (batch #4814-23 A23)

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