title: Gallstone, causing bleeding and pyloric stenosis syndrome, diagnosed by urgent gastroscopy.
abstract: By means of urgent gastroscopy the authors, right before surgery, recognized a pyloric stenosis syndrome and a gallstone that had caused massive melena in a female patient of 73. Cholecystectomy and a Billroth II gastric resection were performed. Following surgery, a transitory duodenal fistula developed. After a month of clinical treatment the patient was sent home cured. This case draws attention to the importance of removing a gallbladder filled with stones as soon as possible in order to prevent complications, as well as to the necessity for gastroscopy in cases of unexplained abdominal complaints.
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000150:complications; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis*; D004378:Duodenal Diseases / Q000150:complications; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications; D005773:Gastroscopy; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications; D008551:Melena / Q000209:etiology*; D011707:Pyloric Stenosis / Q000175:diagnosis* / Q000209:etiology; D013577:Syndrome