Gastric outlet obstruction - looking for a syndrome: Bouveret or Mirizzi?
| Autor: | Marwan Zein, Haydar A. Nasser, Vanessa Marron Mendes, Amal A. Nasser, Nour Ibrahim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Physique de l'état condense [struct. électronique etc.] Nausea Fistula Case Report Physique de l'état condense [struct. propr. thermiques etc.] 03 medical and health sciences 0302 clinical medicine Case report medicine Cholecystitis Physique de l'état condense [supraconducteur] business.industry Gastric outlet obstruction Mirizzi syndrome medicine.disease Surgery Stenosis medicine.anatomical_structure Duodenal obstruction 030220 oncology & carcinogenesis Vomiting Duodenum 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports International Journal of Surgery Case Reports, 84 |
| ISSN: | 2210-2612 |
| Popis: | Introduction and importance: Gastric outlet obstruction can result from any pathological process that causes intrinsic blockage or extrinsic pressure on the distal stomach and duodenum. Gallstone related gastric outlet obstruction is a well-known entity classically due to a cholecystoenteric fistula formation. Case presentation: We present here a case of a 36-year-old man who presented with right upper quadrant abdominal pain associated with marked nausea and vomiting. Abdominal CT scan done in the emergency department revealed a large impacted infundibular gallstone with signs of acute cholecystitis, associated with prominent gastric distention. Gastric outlet obstruction was due to stenosis at the duodenal level from external compression by the large impacted stone with no evidence of fistula. Laparoscopic cholecystectomy was performed with total resolution of symptoms. Clinical discussion: Gastric outlet obstruction can be secondary to many etiologies, and notably gallstone disease. Classically this is due to formation of a cholecystoenteric fistula and intrinsic obstruction by the migrated stone. Our case is unique in that a large impacted infundibular gallstone caused gastric outlet obstruction with absence of any fistula or gallstone migration. Conclusion: Gastric outlet obstruction due to external compression by a non-migrated gallstone is a rare undescribed entity. Surgical treatment should not be delayed to prevent complications and fistula formation. SCOPUS: ar.j info:eu-repo/semantics/published |
| Databáze: | OpenAIRE |
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