title: Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of "Bouveret's syndrome".
abstract: 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.
authors.affiliation: Medicina Interna II, Department of Medicine and Medical Specialties, Universita di Modena e Reggio Emilia, Via del pozzo 71, Modena 41100, Italy.
authors.forename: Dimitry
authors.initials: D
authors.lastname: Arioli
authors.forename: Ivo
authors.initials: I
authors.lastname: Venturini
authors.forename: Michele
authors.initials: M
authors.lastname: Masetti
authors.forename: Elisa
authors.initials: E
authors.lastname: Romagnoli
authors.forename: Antonella
authors.initials: A
authors.lastname: Scarcelli
authors.forename: Pietro
authors.initials: P
authors.lastname: Ballesini
authors.forename: Athos
authors.initials: A
authors.lastname: Borghi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Barberini
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Spina
authors.forename: Mario
authors.initials: M
authors.lastname: De Santis
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Di Benedetto
authors.forename: Giorgio Enrico
authors.initials: GE
authors.lastname: Gerunda
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Zeneroli
mesh_terms: 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