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[Bouveret syndrome diagnosed by endoscopy].
L Csermely1, F Tárnok, G Varga
1Zala Megyei Tanács Kórház-Rendelöintézet, Zalaegerszeg II. sz. Belgyógyászati Osztály.
Orvosi Hetilap
|December 9, 1990
Summary
A rare case of Bouveret's syndrome, where a large gallstone obstructs the stomach and duodenum, was diagnosed endoscopically in a 74-year-old woman. Surgical removal of the 7x4 cm stone resolved the duodenal ileus and symptoms.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gallstone disease can lead to rare complications beyond typical biliary colic.
- Bouveret's syndrome, a form of gallstone ileus, involves a gallstone obstructing the gastrointestinal tract.
Observation:
- A 74-year-old woman presented with upper abdominal pain and vomiting due to a gallstone.
- Endoscopic examination revealed a large gallstone obstructing the pyloric channel and duodenal bulb.
- Intraoperative findings confirmed upper duodenal ileus.
Findings:
- A 7x4 cm gallstone was successfully removed via gastroduodenotomy and cholecystectomy.
- The patient experienced a complication-free recovery post-surgery.
- The condition was preoperatively diagnosed as Bouveret's syndrome based on endoscopic findings.
Implications:
- This case highlights the importance of considering Bouveret's syndrome in patients with obstructive symptoms and a history of gallstones.
- Endoscopic diagnosis is crucial for effective management of this rare condition.
- Surgical intervention remains the definitive treatment for gallstone-induced gastrointestinal obstruction.