1. [Bouveret's syndrome--a rare case of proximal ileus of biliary etiology].
- Author
-
Simůnek R, Bohatá S, and Kala Z
- Subjects
- Duodenal Obstruction surgery, Female, Gallstones surgery, Humans, Intestinal Fistula surgery, Middle Aged, Syndrome, Duodenal Obstruction etiology, Gallstones complications, Ileus etiology, Intestinal Fistula complications
- Abstract
Bouveret's syndrome is gastric outlet obstruction caused by impaction of large gallstone in the duodenal bulb which penetrated through a cholecystoduodenal fistula. A 56-years-old lady suffered from right upper abdominal pain and vomiting. Investigations, including abdominal radiograph, ultrasonography and computed tomography, revealed pneumobilia and a large stone impacted in the duodenal bulb. She underwent upper GIT endoscopy, where was found a large stone in the duodenal bulb and cholecystoduodenal fistula on frontal wall of pars descendens duodeni. A stone was too large for endoscopic treatment. She underwent laparotomy with cholecystectomy, the stone was removed and the cholecystoduodenal fistula was closed with omentoplastic.
- Published
- 2009