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Inicio Cirugía Española (English Edition) Gastric Outlet Obstruction Due to Duodenal Gallstone (Bouveret Syndrome)
Journal Information
Vol. 98. Issue 6.
Pages 358 (June - July 2020)
Vol. 98. Issue 6.
Pages 358 (June - July 2020)
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DOI: 10.1016/j.cireng.2019.11.016
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Gastric Outlet Obstruction Due to Duodenal Gallstone (Bouveret Syndrome)
Obstrucción intestinal alta secundaria a cálculo impactado en duodeno (síndrome de Bouveret)
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Tania Diaz Antonioa,
Corresponding author
tdiazant@gmail.com

Corresponding author.
, Guadalupe Dolores Garrido Ruiza, Irene Mirón Fernándezb, Laura Peñuela Ruiza
a Servicio de Radiodiagnóstico, Hospital Universitario Virgen de la Victoria, Málaga, Spain
b Servicio de Cirugía General y del Aparato Digestivo y Trasplantes, Complejo Regional Universitario de Málaga, Málaga, Spain
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A 78-year-old woman admitted in the emergency department due to epigastric pain and vomiting in the last week. As personal history, she underwent gallstone ileus surgery without cholecystectomy. Plain radiograph (Fig. 1) shows a large gastric dilatation with pneumobilia and gallstone in the right hypochondrium. CT (Fig. 2) confirmed the duodenal ectopic gallstone location as mechanical obstruction.

Fig. 1
(0.08MB).
Fig. 2
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Bouveret syndrome is a rare form of gallstone ileus. Although endoscopy is the thechnique of choice, the role of surgery is highlighted as an alternative in cases of large or impacted stones. Diagnosis: gastric outlet obstruction due to duodenal gallstone (Bouveret syndrome).

Acknowledgements

To the Surgery and Radiodiagnosic Services for their collaboration.

Please cite this article as: Diaz Antonio T, Garrido Ruiz GD, Mirón Fernández I, Peñuela Ruiz L. Obstrucción intestinal alta secundaria a cálculo impactado en duodeno (síndrome de Bouveret). Cir Esp. 2020;98:358.

Copyright © 2019. AEC
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