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Bouveret syndrome: gallstone ileus of the duodenum
Zachary P Englert1, Katie Love, Mark D Marilley
1Department of Surgery, Brody School of Medicine, ECU, Greenville, NC, USA. englertz@ecu.edu
Abstract:
This is a case of a 59-year-old woman with Bouveret syndrome. An initial endoscopic approach to management is described. Gallstone ileus occurs when a gallstone passes from a cholecystoduodenal fistula or a choledochoduodenal fistula into the gastrointestinal tract and causes obstruction, usually at the ileocecal valve. Bouveret syndrome is a variant of gallstone ileus where the gallstone lodges in the duodenum or pylorus causing a gastric outlet obstruction. The endoscopic and surgical management of this process are important to keep in mind and may be evolving as endoscopic therapies improve.
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