Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1265
Título: Gastric Outlet Obstruction in a Patient with Bouveret's Syndrome: a Case Report
Autor: Nabais, C
Salústio, R
Morujão, I
Sousa, FV
Porto, E
Cardoso, C
Fradique, AC
Palavras-chave: Obstrução da Saída Gástrica
Tomografia Computorizada
HSJ CIR
Fístula Intestinal
Data: 2013
Editora: BioMed Central
Citação: BMC Res Notes. 2013 May 12;6:195
Resumo: BACKGROUND: Gallstone ileus accounts for 1% to 4% of cases of mechanical bowel obstruction, but may be responsible for up to 25% of cases in older age groups. In non-iatrogenic cases, gallstone migration occurs after formation of a biliary-enteric fistula. In fewer than 10% of patients with gallstone ileus, the impacted gallstones are located in the pylorus or duodenum, resulting in gastric outlet obstruction, known as Bouveret's syndrome. CASE PRESENTATION: We report an 86-year-old female who was admitted to hospital with a 10-day history of persistent vomiting and prostration. She was in hypovolemic shock at the time of arrival in the emergency department. Investigations revealed a gallstone in the duodenal bulb and a cholecystoduodenal fistula. She underwent surgical gastrolithotomy. Unfortunately, she died of aspiration pneumonia on the fourth postoperative day. CONCLUSION: This case shows the importance of considering Bouveret's syndrome in the differential diagnosis of gastric outlet obstruction, especially in the elderly, even in patients with no previous history of gallbladder disease.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1265
Aparece nas colecções:CIR - Artigos

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