[Bouveret's syndrome--a rare case of proximal ileus of biliary etiology].
Bouveret's syndrome is gastric outlet obstruction caused by impaction of large gallstone in the duodenal bulb which penetrated through a cholecystoduodenal fistula. A 56-years-old lady suffered from right upper abdominal pain and vomiting. Investigations, including abdominal radiograph, ultrasonography and computed tomography, revealed pneumobilia and a large stone impacted in the duodenal bulb. She underwent upper GIT endoscopy, where was found a large stone in the duodenal bulb and cholecystoduodenal fistula on frontal wall of pars descendens duodeni. A stone was too large for endoscopic treatment. She underwent laparotomy with cholecystectomy, the stone was removed and the cholecystoduodenal fistula was closed with omentoplastic.
Simůnek
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Chirurgická klinika, Fakultní nemocnice Brno-Bohunice a lékarská fakulta, Masarykova universita, Brno. radimsimunek@centrum.cz
Bohatá
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Kala
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D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000209:etiology*; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008875:Middle Aged; D013577:Syndrome