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In Vivo Modeling of the Morbid Human Genome using Danio rerio

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Bouveret syndrome.

Shinil K Shah¹, Peter A Walker, Uwe M Fischer

¹Department of Surgery, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA. shinil.k.shah@uth.tmc.edu

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|June 19, 2013

Summary

This summary is machine-generated.

Bouveret syndrome, a rare cause of gastric outlet obstruction from impacted gallstones, typically affects elderly women. This case highlights the diagnostic and management challenges of this condition in a patient with comorbidities.

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Area of Science:

Gastroenterology
Surgical Case Reports

Background:

Bouveret syndrome is a rare variant of gallstone ileus, characterized by gastric outlet obstruction due to a gallstone impacted in the duodenum.
It predominantly affects elderly women and often necessitates endoscopic or surgical intervention.

Observation:

An 80-year-old female patient presented with a two-week history of abdominal pain and nausea.
Magnetic Resonance Imaging (MRI) identified a 4.4-cm gallstone lodged in the duodenum, accompanied by a cholecystoduodenal fistula.

Findings:

The patient underwent operative exploration for the removal of the impacted gallstone.
The post-operative recovery was uneventful.

Implications:

This case underscores the importance of considering Bouveret syndrome in the differential diagnosis of gastric outlet obstruction, particularly in elderly patients with comorbidities.
Management requires careful consideration of treatment options due to patient-specific factors.