Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
eScholarship Publishing, University of California
2014-11-01
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Series: | Western Journal of Emergency Medicine |
Subjects: | |
Online Access: | http://escholarship.org/uc/item/5bm7f77k |
Summary: | Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition. [West J Emerg Med. 2015;16(1):151-153.] |
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ISSN: | 1936-900X 1936-9018 |