A rare presentation of gastric outlet obstruction (GOO) – The Bouveret's syndrome. Issue 1 (March 2015)

• Record Type: Journal Article
• Authors: kalwaniya, Dheer singh; Arya, S.V.; Guha, Soumya; Kuppuswamy, Manigandan; Chaggar, Jasneet G.; Ralte, Lalmalsamwe; Chejera, Rajkumar; Sharma, Ashok
• Is Part Of: Annals of medicine and surgery. Volume 4:Issue 1(2015:Mar.)
• Page Start: 67
• Page End: 71
• Publication Date: 2015-03
• Subjects: Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2015.02.001
• Languages: English
• ISSNs: 2049-0801

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Introduction</title> <p id="abspara0010">Bouveret's Syndrome is a rare cause of Gastric outlet obstruction (GOO) caused by a gall stone which has migrated into the duodenal bulb from a bilioduodenal fistula. It is an uncommon condition and only a few cases have been reported in the medical literature till to date.</p> </sec> <sec> <title id="sectitle0020">Presentation of case</title> <p id="abspara0015">We report a case of a 45 year old woman who presented to us with recurrent pain in the upper abdomen for the last 8 years, and that progressed to develop symptoms of gastric outlet obstruction. An upper gastrointestinal endoscopy revealed duodenal ulceration with a stony hard lesion in the first part of duodenum. An contrast enhanced computed tomography (CECT) scan of the abdomen performed later confirmed the presence of cholecystoduodenal fistula and a gall-stone in proximal jejunum.</p> </sec> <sec> <title id="sectitle0025">Discussion</title> <p id="abspara0020">Bouveret's syndrome is a case of gastric outlet obstruction caused by the impaction of a large gall stone in the duodenum as a result of a cholecystoduodenal fistula. It constitutes 1–3% of cases of gall stone ileus which in turn complicates only 0.3–4% cases of cholelithisasis. Bouveret's syndrome is managed surgically.</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Bouveret's syndrome being an uncommon condition may pose a difficulty in diagnosis and dilemma in managing such patients. An awareness is hence essential.</p> </sec> </abstract>