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[Bouveret syndrome--a rare gallstone complication]
R Hürlimann1, M Enzler, R O Binswanger
1Departemente für Innere Medizin (Abteilung für Gastroenterologie, Universitätsspital, Zürich.
Summary
Bouveret's Syndrome, a rare cause of gastric outlet obstruction, occurs when a gallstone impacts the duodenum. Surgical intervention successfully resolved symptoms in a 62-year-old patient.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Gastric outlet obstruction (GOO) presents with symptoms like nausea and vomiting.
- Gallstone disease is a common condition, but rarely causes GOO directly.
Observation:
- A 62-year-old woman presented with symptoms of GOO and severe metabolic hypochloremic alkalosis.
- Abdominal ultrasonography revealed a gallstone causing duodenal obstruction.
Findings:
- The patient underwent a successful one-stage surgical procedure including cholecystectomy, enterolithotomy, and fistula repair.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case highlights Bouveret's Syndrome as a treatable cause of GOO.
- Prompt diagnosis and surgical management are crucial for favorable outcomes in Bouveret's Syndrome.