title: A rare case of Bouveret's syndrome presenting with upper gastrointestinal bleeding.
abstract: We report a case of duodenal obstruction caused by a large gallstone wedged in the duodenal bulb (Bouveret's syndrome), presenting with acute upper gastrointestinal bleeding and successfully treated by surgery following a failed attempt at endoscopic retrieval of the stone. Haemorrhage is a very rare form of presentation. After an extensive review of the literature, the therapeutic options and surgical strategies (one-stage and two-stage procedure) are critically discussed.
authors.affiliation: 1st Unit of Surgery, Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Bonfante
authors.forename: Claudio
authors.initials: C
authors.lastname: Bianchi
authors.forename: Prospero
authors.initials: P
authors.lastname: Magistrelli
authors.forename: Vittorio
authors.initials: V
authors.lastname: Ansaldo
mesh_terms: D000369:Aged, 80 and over; D004380:Duodenal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D013577:Syndrome; D016896:Treatment Outcome