A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously
| العنوان: | A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously |
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| المؤلفون: | Yuqian Tian, Mustafa Nazzal, Neha Sarvepalli |
| المصدر: | Case Reports in Surgery Case Reports in Surgery, Vol 2021 (2021) |
| بيانات النشر: | Hindawi, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Common bile duct, RD1-811, business.industry, Impaction, Fistula, Gastric outlet obstruction, Case Report, Gallstones, medicine.disease, Pylorus, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Gallstone ileus, medicine, 030211 gastroenterology & hepatology, Pharmacology (medical), Presentation (obstetrics), business |
| الوصف: | Bouveret’s syndrome refers to a gastric outlet obstruction secondary to impaction of a gallstone in the pylorus or proximal duodenum. Thus, it can be considered a very proximal form of gallstone ileus and is infrequent. We describe such a unique case that a female patient presents with Bouveret’s syndrome and concomitant common bile duct obstruction by a second gallstone. The decision over its surgical management is complicated, based on risk factors, clinical presentations, radiographic evidence, surgical risk assessment, and specific considerations tailored to individual case. Because of her stable clinical picture and low surgical risk, we proceeded with stone extractions, fistula take-down, and common bile duct exploration in a one-stage procedure. Her postoperative course was complicated by bile stained drainage through closed suction drain that resolved with conservative management. |
| اللغة: | English |
| تدمد: | 2090-6919 2090-6900 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8e186808500ea75221ce09c0726f939d http://europepmc.org/articles/PMC7826221 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....8e186808500ea75221ce09c0726f939d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20906919 20906900 |
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