Bouveret's syndrome: case report and review of the literature.
Bouveret's syndrome, or gallstone duodenal pyloric obstruction, almost always presents with abdominal pain or vomiting. It occurs more commonly in females (65%), with a median age of 68.6 years. The diagnosis is made by endoscopy (60%), upper gastrointestinal series (45%) or by direct abdominal x-ray (23%). The syndrome is mainly treated by surgery (93%), but recently, it has also been treated by endoscopy or extracorporeal shock wave lithotripsy. The mortality rate has improved from 33%, as was the case before 1968, to 12% in recent years. Herein we report the case of a 79-year-old female with Bouveret's syndrome.
Frattaroli
F M
FM
II Surgical Clinic, University La Sapienza, Rome, Italy.
Reggio
D
D
Guadalaxara
A
A
Illomei
G
G
Lomanto
D
D
Pappalardo
G
G
D000368:Aged; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002758:Cholangiography; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016145:Endoscopy, Digestive System; D005260:Female; D005500:Follow-Up Studies; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013577:Syndrome