Bouveret Syndrome: Rare but Quite Impactful

Bouveret syndrome is a rare cause of gastric outlet obstruction that arises from a gallstone passing through a choledochoduodenal fistula. It remains poorly understood and is frequently misdiagnosed. We describe a case in which a patient was successfully treated for Bouveret syndrome. The patient pr...

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Bibliographic Details
Main Authors: Kelly M. Kimball, Eric Kiza, Tyler Kimball, Jude Meniru, Michael Rich
Format: Article
Language:English
Published: American College of Physicians 2022-09-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0293
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Summary:Bouveret syndrome is a rare cause of gastric outlet obstruction that arises from a gallstone passing through a choledochoduodenal fistula. It remains poorly understood and is frequently misdiagnosed. We describe a case in which a patient was successfully treated for Bouveret syndrome. The patient presented with recurrent abdominal pain, anorexia, and intractable nausea and vomiting. Esophagogastroduodenoscopy revealed a large, affected stone in the proximal duodenum. The stone was removed via exploratory laparotomy, and the patient was discharged with a prescription for ursodiol. This case aims to serve as a guide to physicians in the early identification of Bouveret syndrome.
ISSN:2767-7664