[Pyloric stenosis caused by gallstone (Bouveret's syndrome). Presentation of a further case].
The Bouveret's syndrome is a rare complication of a bilio-digestive fistula, where a big stone occludes the pyloro-duodenal region. The clinical symptomatology is atypical, symptoms of the disease are acute and only in fifty per cent of cases it is possible to have a positive anamnesis for biliary lithiasis. The evolution of the occlusion is generally rapid. The clinical case we are in possession of, shows a particularly chronic evolution with a 15 month sub-occlusive symptomatology that caused a massive gastric dilatation. The diagnosis of Bouveret syndrome was set forth during operation, as generally happens in about 50% of cases. The surgical treatment is still the only one capable to solve the obstruction of the alimentary canal and the bilio-digestive fistula at the same time.
Leopaldi
E
E
Clinica Chirurgica I, Università di Milano.
Ambrosiani
N
N
Campanelli
G
G
D001658:Biliary Fistula / Q000150:complications / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications / Q000601:surgery; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000601:surgery; D008875:Middle Aged; D011707:Pyloric Stenosis / Q000209:etiology* / Q000601:surgery; D013577:Syndrome
Stenosi pilorica da calcolo biliare (sindrome di Bouveret). Presentazione di un nuovo caso.