Bouveret's Syndrome with Severe Esophagitis and a Purulent Fistula

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)
Rami Bonam (Creator)
Glenn Harvin (Creator)
William Leland (Creator)
Zahid Vahora (Creator)
East Carolina University (ECU )
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Abstract: Extracted text; Bouveret's syndrome is a rare variant of gallstone ileus with an overall incidence of 1–3%. It is a rare cause of gastric outlet obstruction resulting from the passage and impaction of a large gallstone through a cholecysto-duodenal fistula. A combination of diagnostic modalities is often required for a diagnosis. Management options include endoscopy and surgery. The most commonly performed procedures are enterolithotomy or gastrostomy, either alone or with cholecystectomy and fistula repair. We describe a unique variant of chronic Bouveret's syndrome with the unusual associations of severe esophagitis and a purulent fistula.

Additional Information

ACG Case Reports Journal; 1:3 p. 158-160
Language: English
Date: 2014

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