title: Delayed diagnosis of gastric outlet obstruction from bouveret syndrome in a young woman.
abstract: Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition.
authors: Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington.
authors: Zachary
authors: Z
authors: Smith
authors: University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington.
authors: Jodie
authors: J
authors: Totten
authors: University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington.
authors: Adrienne
authors: A
authors: Hughes
authors: University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington.
authors: Jared
authors: J
authors: Strote
mesh_terms: D000328:Adult; D057210:Delayed Diagnosis; D004380:Duodenal Obstruction / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis; D017219:Gastric Outlet Obstruction / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D013577:Syndrome