Gastric outlet obstruction by a gallstone (Bouveret's syndrome).
Gastric outlet obstruction caused by a gallstone in the duodenum or pylorus(Bouveret's syndrome) is a very rare complication of gallstone disease. Presenting symptoms include epigastric pain, nausea, and vomiting. Preoperative diagnosis is not easy. Oral endoscopy is one of the diagnostic procedures. We present a case in which the diagnosis was made by endoscopic examination. Multiple attempts at endoscopic extraction of the gallstone from the duodenum were unsuccessful. A one-stage surgical procedure consisting of the removal of the impacted stone, fistula repair, and cholecystectomy was performed in this case. The postoperative course was uneventful.
Ezberci
F
F
Department of Surgery, University of Kahramanmaras Sutcu Imam, Faculty of Medicine, Kahramanmaras, Turkey. f_ezberci@hotmail.com
Kargi
H
H
Ergin
A
A
D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013577:Syndrome