Arif Zafar1, Gemma Ingham, Jainudeen K A Jameel. 1. Department of General & Upper Gastrointestinal Surgery, Dewsbury & District Hospital, The Mid Yorkshire Hospitals NHS Trust, Halifax Road, Dewsbury, West Yorkshire WF13 4HS, United Kingdom. Electronic address: hawkeye_wolf@hotmail.com.
Abstract
INTRODUCTION: Bouveret's syndrome is a rare variant of gallstone ileus and describes gastric outlet obstruction secondary to an impacted stone in the duodenum. Its presentation is vague and clinical diagnosis is often difficult resulting in a delay in diagnosis. PRESENTATION OF CASE: We report a patient who presented initially with non-specific symptoms and subsequently with features in keeping with acute pancreatitis, but eventually was found to have Bouveret's syndrome. DISCUSSION: Different treatment strategies are discussed. Although endoscopic treatment combined with many newer modalities like lithotripsy have been tried, surgery remains the definitive management in the vast majority of cases. CONCLUSION: Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome.
INTRODUCTION:Bouveret's syndrome is a rare variant of gallstone ileus and describes gastric outlet obstruction secondary to an impacted stone in the duodenum. Its presentation is vague and clinical diagnosis is often difficult resulting in a delay in diagnosis. PRESENTATION OF CASE: We report a patient who presented initially with non-specific symptoms and subsequently with features in keeping with acute pancreatitis, but eventually was found to have Bouveret's syndrome. DISCUSSION: Different treatment strategies are discussed. Although endoscopic treatment combined with many newer modalities like lithotripsy have been tried, surgery remains the definitive management in the vast majority of cases. CONCLUSION:Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome.
Authors: J Holl; M Sackmann; R Hoffmann; P Schüssler; T Sauerbruch; D Jüngst; G Paumgartner Journal: Gastroenterology Date: 1989-08 Impact factor: 22.682