First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum.

Autor: Vieiro Medina MV; Cirugía General, Hospital 12 de Octubre, España., Gómez Sanz R; Hospital Universitario 12 de Octubre., Bra Insa E; Hospital Universitario 12 de Octubre., Domínguez Sánchez I; Hospital Universitario 12 de Octubre., de la Fuente Bartolomé M; Hospital Universitario 12 de Octubre., Díaz Pérez D; Hospital Universitario 12 de Octubre., Anisa Nutu O; Hospital Universitario 12 de Octubre., de la Cruz Vigo F; Hospital Universitario 12 de Octubre.
Jazyk: angličtina
Zdroj: Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2016 Jun; Vol. 108 (6), pp. 376-8.
DOI: 10.17235/reed.2015.3779/2015
Abstrakt: We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret's syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum. The postoperative course was uneventful except for a laparotomy infection.
Databáze: MEDLINE