Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction
<h3>Key Clinical Message</h3><p dir="ltr">The case highlights the importance of decisive action in addressing large gallstones causing gastric outlet obstruction. The chosen single‐stage surgical approach reflects the need to manage both obstruction and the gallstone simu...
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| مؤلفون آخرون: | , , , , , , , |
| منشور في: |
2024
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| _version_ | 1864513542137315328 |
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| author | Alifa Sabir (21604541) |
| author2 | Ruqia Mushtaq (21842459) Rabia Arshad (6807683) Noor Khalid (15085318) Maheen Ayub (21842462) Shahzaib Maqbool (21842465) Muhammad Farhan (4454434) Muhammad Hanif (1737865) Abdulqadir J. Nashwan (11659453) |
| author2_role | author author author author author author author author |
| author_facet | Alifa Sabir (21604541) Ruqia Mushtaq (21842459) Rabia Arshad (6807683) Noor Khalid (15085318) Maheen Ayub (21842462) Shahzaib Maqbool (21842465) Muhammad Farhan (4454434) Muhammad Hanif (1737865) Abdulqadir J. Nashwan (11659453) |
| author_role | author |
| dc.creator.none.fl_str_mv | Alifa Sabir (21604541) Ruqia Mushtaq (21842459) Rabia Arshad (6807683) Noor Khalid (15085318) Maheen Ayub (21842462) Shahzaib Maqbool (21842465) Muhammad Farhan (4454434) Muhammad Hanif (1737865) Abdulqadir J. Nashwan (11659453) |
| dc.date.none.fl_str_mv | 2024-05-30T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1002/ccr3.8969 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Bouveret_s_syndrome_A_rare_case_of_gallstone_causing_gastric_outlet_obstruction/29715914 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Bouveret's syndrome case report gallstones gastric outlet obstruction intestinal fistula intestinal obstruction |
| dc.title.none.fl_str_mv | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Key Clinical Message</h3><p dir="ltr">The case highlights the importance of decisive action in addressing large gallstones causing gastric outlet obstruction. The chosen single‐stage surgical approach reflects the need to manage both obstruction and the gallstone simultaneously.</p><p dir="ltr">Bouveret's syndrome is a rare cause of gastric outlet obstruction secondary to gallstones entering the enteric system through an acquired cholecystoduodenal fistula. Here, we present the case of an 85‐year‐old female who presented to our emergency department with gastric outlet obstruction secondary to a large gallstone in the third part of the duodenum. Abdominal X‐ray did not demonstrate air‐fluid levels but revealed a dilated gastric shadow, suggesting gastric outlet obstruction. EGD showed a dilated stomach and a hard, golf ball‐sized gallstone in the duodenum. CT scan showed a distended stomach with a large gallstone obstructing the DJ junction and air in the biliary tree. Findings were suggestive of perforation of the gallbladder with stone impaction in the duodenojejunal (DJ) junction. The patient was managed surgically with a one‐stage procedure comprising enterotomy, fistula closure, and cholecystectomy. Although Bouveret's syndrome is rare, it is important for practicing surgeons to have a high index of suspicion for this condition due to the high mortality associated with it.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.8969" target="_blank">https://dx.doi.org/10.1002/ccr3.8969</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_664dd1f0f1c5338fc72e927a7c1b6c5c |
| identifier_str_mv | 10.1002/ccr3.8969 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29715914 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstructionAlifa Sabir (21604541)Ruqia Mushtaq (21842459)Rabia Arshad (6807683)Noor Khalid (15085318)Maheen Ayub (21842462)Shahzaib Maqbool (21842465)Muhammad Farhan (4454434)Muhammad Hanif (1737865)Abdulqadir J. Nashwan (11659453)Biomedical and clinical sciencesClinical sciencesBouveret's syndromecase reportgallstonesgastric outlet obstructionintestinal fistulaintestinal obstruction<h3>Key Clinical Message</h3><p dir="ltr">The case highlights the importance of decisive action in addressing large gallstones causing gastric outlet obstruction. The chosen single‐stage surgical approach reflects the need to manage both obstruction and the gallstone simultaneously.</p><p dir="ltr">Bouveret's syndrome is a rare cause of gastric outlet obstruction secondary to gallstones entering the enteric system through an acquired cholecystoduodenal fistula. Here, we present the case of an 85‐year‐old female who presented to our emergency department with gastric outlet obstruction secondary to a large gallstone in the third part of the duodenum. Abdominal X‐ray did not demonstrate air‐fluid levels but revealed a dilated gastric shadow, suggesting gastric outlet obstruction. EGD showed a dilated stomach and a hard, golf ball‐sized gallstone in the duodenum. CT scan showed a distended stomach with a large gallstone obstructing the DJ junction and air in the biliary tree. Findings were suggestive of perforation of the gallbladder with stone impaction in the duodenojejunal (DJ) junction. The patient was managed surgically with a one‐stage procedure comprising enterotomy, fistula closure, and cholecystectomy. Although Bouveret's syndrome is rare, it is important for practicing surgeons to have a high index of suspicion for this condition due to the high mortality associated with it.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.8969" target="_blank">https://dx.doi.org/10.1002/ccr3.8969</a></p>2024-05-30T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.8969https://figshare.com/articles/journal_contribution/Bouveret_s_syndrome_A_rare_case_of_gallstone_causing_gastric_outlet_obstruction/29715914CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/297159142024-05-30T09:00:00Z |
| spellingShingle | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction Alifa Sabir (21604541) Biomedical and clinical sciences Clinical sciences Bouveret's syndrome case report gallstones gastric outlet obstruction intestinal fistula intestinal obstruction |
| status_str | publishedVersion |
| title | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| title_full | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| title_fullStr | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| title_full_unstemmed | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| title_short | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| title_sort | Bouveret's syndrome: A rare case of gallstone causing gastric outlet obstruction |
| topic | Biomedical and clinical sciences Clinical sciences Bouveret's syndrome case report gallstones gastric outlet obstruction intestinal fistula intestinal obstruction |