Rare cause of gastric outlet obstruction

Authors

Sonal Gandhi, Greater Baltimore Medical Center (GBMC)
Niraj Jani, Greater Baltimore Medical Center (GBMC)

Document Type

Article

Publication Title

Journal of Community Hospital Internal Medicine Perspectives

Abstract

Bouveret's syndrome is a rare cause of gastric outlet obstruction. The stones enter the small bowel via cholecysto-enteric fistula. The most common presenting symptoms are abdominal pain, nausea and vomiting. The gold standard diagnostic test isesophagogastroduodenoscopy (EGD). Rigler's triad on abdominal x-ray is classic. CT scan findings are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum. We present a case of a 75-year-old female who presents with 3 week history of nausea, vomiting, and diffuse abdominal pain. Initial presentation, imaging and EGD was concerning for malignancy. She was later diagnosed to have Bouveret's syndrome and underwent laparoscopic small bowel enterotomy with removal of gallstones.

First Page

84

Last Page

86

DOI

https://doi.org/10.1080/20009666.2018.1452517

Publication Date

Spring 4-17-2018

Recommended Citation

Gandhi S, Jani N. Rare cause of gastric outlet obstruction. J Community Hosp Intern Med Perspect. 2018 Apr 17;8(2):84-86. doi: 10.1080/20009666.2018.1452517. PMID: 29686795; PMCID: PMC5906763.