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Upper Gastrointestinal Bleeding: A Potential Precursor to Bouveret's Syndrome
Daniela Goyes1, Hirsh D Trivedi2
1Internal Medicine, Loyola Medicine MacNeal Hospital, Berwyn, USA.
Cureus
|May 12, 2021
Summary
Bouveret's syndrome, a rare gallstone complication causing gastric outlet obstruction, can rarely present with upper gastrointestinal bleeding. This case highlights gastrointestinal bleeding preceding the syndrome's typical presentation.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Bouveret's syndrome is an uncommon complication of gallstones, involving a gallstone obstructing the gastric outlet via a cholecystoenteric fistula.
- It typically presents with symptoms of gastric outlet obstruction.
Observation:
- This report details a rare case where upper gastrointestinal bleeding (UGIB) preceded the development of Bouveret's syndrome.
- The patient experienced hematemesis and melena, unusual initial symptoms for this condition.
Findings:
- Diagnosis of Bouveret's syndrome relies on imaging like computed tomography (CT).
- Treatment strategies are tailored to patient stability, obstruction site, stone characteristics, and fistula presence, ranging from endoscopic procedures to surgery.
Implications:
- This case expands the understanding of Bouveret's syndrome presentation, suggesting UGIB as a potential preceding symptom.
- Recognizing this atypical presentation is crucial for timely diagnosis and appropriate management of Bouveret's syndrome.
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