gallstone ileus; Bouveret's syndrome
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Introduction
also see ileus
Pathology
Bouveret's syndrome
- gastric outlet obstruction
- gallstone impaction in the pylorus or proximal duodenum after passage through a cholecystoduodenal fistula
Clinical manifestations
case report Bouveret's syndrome
- nausea/vomiting
- right-upper-quadrant abdominal pain
- abdominal distension
- decreased bowel sounds
- mild epigastric tenderness
Radiology
- abdominal CT (image)[1]
- Rigler's triad
Management
- lithotripsy with endoscopic removal of stone
- laparotomy for repair & removal of stone
More general terms
Additional terms
References
- ↑ 1.0 1.1 Ramos GP, Chiang NE Bouveret's Syndrome. N Engl J Med 2018; 378:1335 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29617586 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1711592