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...

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Bibliographic Details
Main Authors: Smith, Zachary, Totten, Jodie, Hughes, Adrienne, Strote, Jared
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2014-11-01
Series:Western Journal of Emergency Medicine
Subjects:
Online Access:http://escholarship.org/uc/item/5bm7f77k
Description
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.]
ISSN:1936-900X
1936-9018