Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of "Bouveret's syndrome".
Bouveret's syndrome, defined as gastric outlet obstruction due to a large gallstone, is still one of the most dramatic biliary gallstone complications. Although new radiological and endoscopic techniques have made pre-surgical diagnosis possible in most cases and the death rate has dropped dramatically, "one-stage surgery" (biliary surgery carried out at the same time as the removal of the gut obstruction) should be still considered as the gold standard for the treatment of gallstone ileus.In this case, partial gastric outlet obstruction resulted in an atypical and insidious clinical presentation that allowed us to perform the conventional one-stage laparatomic procedure that completely solved the problem, thus avoiding any further complications.
Arioli
Dimitry
D
Medicina Interna II, Department of Medicine and Medical Specialties, Universita di Modena e Reggio Emilia, Via del pozzo 71, Modena 41100, Italy.
Venturini
Ivo
I
Masetti
Michele
M
Romagnoli
Elisa
E
Scarcelli
Antonella
A
Ballesini
Pietro
P
Borghi
Athos
A
Barberini
Alessandro
A
Spina
Vincenzo
V
De Santis
Mario
M
Di Benedetto
Fabrizio
F
Gerunda
Giorgio Enrico
GE
Zeneroli
Maria Luisa
ML
D000368:Aged; D001658:Biliary Fistula / Q000150:complications* / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D005747:Gastric Fistula / Q000150:complications* / Q000601:surgery; D017219:Gastric Outlet Obstruction / Q000145:classification / Q000209:etiology* / Q000601:surgery; D006801:Humans