title: [Bouveret's syndrome: biliary ileus manifested by acute upper gastrointestinal hemorrhage and impaired gastric emptying].
abstract: The authors present a very rare case of impaired gastric evacuation, known as Bouveret's syndrome, caused by a large biliary concrement wedged in the duodenum as a result of the development of a cholecystoduodenal fistula in a 77-year-old man. The condition was manifested clinically by developed high ileus and subsequent haemorrhage into the upper GIT. The diagnosis was established on the background of the clinical picture, passage through the upper GIT and endoscopy. As the attempt to remove the concrement endoscopically failed, laparotomy had to be used. In the conclusion of this case-record the authors discuss the method of assessment of the correct diagnosis endoscopically and possibilities of therapeutic strategy.
authors.affiliation: III. chirurgická klinika 1, LF UK, FN Motol, Praha.
authors.forename: J
authors.initials: J
authors.lastname: Simonek
authors.forename: R
authors.initials: R
authors.lastname: Lischke
authors.forename: J
authors.initials: J
authors.lastname: Drábek
authors.forename: P
authors.initials: P
authors.lastname: Pafko
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000175:diagnosis* / Q000209:etiology; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000209:etiology; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000209:etiology; D005746:Gastric Emptying; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D013577:Syndrome
vernacular_title: Bouveretův syndrom: biliární ileus manifestující se akutním krvácením do horní cásti GIT a poruchou evakuace zaludku.