Bouveret Syndrome: A Rare and Often Fatal Form of Gallstone Ileus.

Autor:	Ibrahim M; College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA., El-Husari A; College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA., Tabbaa H; College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA., Herman M; Gastroenterology, Borland Groover, Jacksonville, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Jun 05; Vol. 15 (6), pp. e40005. Date of Electronic Publication: 2023 Jun 05 (Print Publication: 2023).
DOI:	10.7759/cureus.40005
Abstrakt:	Bouveret syndrome (BS) is a rare but serious complication of gallstone ileus that can cause gastric outlet obstruction secondary to a gallstone impacted in the pylorus or proximal duodenum. Gallstones pass from the gallbladder to the GI tract via a cholecystoenteric fistula that forms as a result of chronic inflammation and adhesions between the biliary system and GI tract. Although the case we are presenting is of a 53-year-old Hispanic male, females and the elderly are particularly at an increased risk of this condition. BS can present as typical mechanical obstruction symptoms that include nausea, vomiting, and diffuse abdominal pain. The vague symptoms patients present with makes the diagnosis difficult and often delayed, which can be fatal. In our case, the diagnosis of BS was supported by a CT with contrast, MRI, and an esophagogastroduodenoscopy (EGD) study. Our patient underwent an exploratory laparotomy after the diagnosis was made, and the stone was removed. Here, we aim to raise awareness of the importance of early recognition, and immediate action in establishing an early diagnosis of BS in patients presenting with nonspecific abdominal symptoms, which can prevent mortalities. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ibrahim et al.)
Databáze:	MEDLINE
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