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A challenging case of gastric outlet obstruction (Bouveret's syndrome): A case report

Gajendran, M and Muniraj, T and Gelrud, A (2011) A challenging case of gastric outlet obstruction (Bouveret's syndrome): A case report. Journal of Medical Case Reports, 5.

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Abstract

Introduction. Bouveret's syndrome is a clinically distinct form of gallstone ileus caused by the formation of a fistula between the biliary tract and duodenum. This case reinforces the need for early recognition and treatment of Bouveret's syndrome, as it is associated with high morbidity and mortality rates. Case presentation. An 82-year-old Caucasian woman presented with signs and symptoms of small bowel obstruction. Her laboratory workup showed elevated alkaline phosphatase and amylase levels. Computed tomography of her abdomen revealed pneumobilia, a choledochoduodenal fistula and a gallstone obstructing her distal duodenum. The impacted gallstone could not be extracted endoscopically, so our patient underwent open enterolithotomy successfully. However, the postoperative course was complicated by myocardial infarction, respiratory failure and disseminated intravascular coagulation. She died 22 days after surgery, secondary to cardiopulmonary arrest. Conclusion: This case clearly highlights the considerable morbidity and mortality associated with Bouveret's syndrome. © 2011 Gajendran et al; licensee BioMed Central Ltd.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Gajendran, Mmag157@pitt.eduMAG157
Muniraj, T
Gelrud, A
Date: 7 October 2011
Date Type: Publication
Journal or Publication Title: Journal of Medical Case Reports
Volume: 5
DOI or Unique Handle: 10.1186/1752-1947-5-497
Schools and Programs: School of Medicine > Medicine
Refereed: Yes
Date Deposited: 26 Oct 2016 16:48
Last Modified: 02 Feb 2019 14:55
URI: http://d-scholarship.pitt.edu/id/eprint/30014

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