title: [A rare cause of gastric outlet obstruction: Bouveret's syndrome].
abstract: Bouveret's syndrome is a rare type of gallstone ileus in which a gallstone enters the intestinal tract via a cholecystoenteric fistula and is lodged in the duodenum or the stomach. Since the first description by León Bouveret in 1896, fewer than 200 cases have been described in the worldwide literature. Mortality is high, at 25%, but may be related to the advanced age of the typical patient and comorbidities, as well as diagnostic delay. Diagnosis may be made with radiological (abdominal X-ray, ultrasound, computed tomography or magnetic resonance imaging) and endoscopic techniques. Endoscopy is preferred as the first therapeutic option but is frequently unsuccessful and surgery is often required. We present the case of a patient admitted to hospital with a history of vomiting after eating and epigastric pain. The management of this rare cause of gastric outlet obstruction is discussed.
authors.affiliation: Servicio de Gastroenterología, Unidad de Endocscopia Digestiva, Hospital Universitario Ramón y Cajal, Madrid, Spain. lcreper@yahoo.es
authors.forename: Laura
authors.initials: L
authors.lastname: Crespo Pérez
authors.forename: Teresa
authors.initials: T
authors.lastname: Angueira Lapeña
authors.forename: Víctor
authors.initials: V
authors.lastname: Defarges Pons
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Foruny Olcina
authors.forename: Ana
authors.initials: A
authors.lastname: Cano Ruiz
authors.forename: Vicente
authors.initials: V
authors.lastname: Benita León
authors.forename: Juan Angel
authors.initials: JA
authors.lastname: Gónzalez Martín
authors.forename: Daniel
authors.initials: D
authors.lastname: Boixeda de Miquel
authors.forename: José María
authors.initials: JM
authors.lastname: Milicua Salamero
mesh_terms: D000369:Aged, 80 and over; D003663:Decision Trees; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis; D017219:Gastric Outlet Obstruction / Q000209:etiology*; D006801:Humans; D045823:Ileus / Q000150:complications* / Q000175:diagnosis; D008297:Male; D011708:Pylorus; D013577:Syndrome