title: [Antropyloric lithiasic obstruction. A variant of Bouveret's syndrome].
abstract: We report about one case of cholecystoduodenal fistula complicated by antropyloric lithiasic obstruction, which was treated surgically with gastrotomy and extraction of the calculus, in an 82-year-old woman. This case represents an anatomic variant of Bouveret's syndrome, which is classically defined as a duodenal lithiasic obstruction. On the basis of this case, the authors discuss the diagnostic and possibly therapeutic merits of digestive endoscopy and define the main clinical, anatomical and evolutive characteristics of this unfrequent complication of biliary lithiasis.
authors.affiliation: Service de Chirurgie générale et vasculaire, hôpital Ambroise-Paré, Boulogne.
authors.forename: J C
authors.initials: JC
authors.lastname: Patel
authors.forename: G
authors.initials: G
authors.lastname: Lesur
authors.forename: T
authors.initials: T
authors.lastname: De Cervens
authors.forename: J F
authors.initials: JF
authors.lastname: Renier
authors.forename: C
authors.initials: C
authors.lastname: Hardy
authors.forename: A
authors.initials: A
authors.lastname: Favas
authors.forename: H
authors.initials: H
authors.lastname: Gompel
authors.forename: P
authors.initials: P
authors.lastname: Dupuy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate; D001658:Biliary Fistula / Q000209:etiology*; D002137:Calculi / Q000175:diagnosis / Q000209:etiology*; D002769:Cholelithiasis / Q000150:complications*; D004380:Duodenal Obstruction / Q000209:etiology; D004733:Enema; D005260:Female; D006801:Humans; D011706:Pyloric Antrum; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome
chemical_list: D001466:Barium Sulfate
vernacular_title: Obstruction lithiasique antro-pylorique. Une variante du syndrome de Bouveret.