Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman

• 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: Gastric Outlet Obstruction; Bouveret Syndrome; Young Woman
• Online Access: http://escholarship.org/uc/item/5bm7f77k

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.]