Bouveret's Syndrome with Severe Esophagitis and a Purulent Fistula

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crj-01-158.PMC4435300.pdf (258.92 KB)

Date

2014-04

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Authors

Bonam, Rami
Vahora, Zahid
Harvin, Glenn
Leland, William

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Abstract

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.

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Citation

ACG Case Reports Journal; 1:3 p. 158-160

DOI

10.14309/crj.2014.36

URI

http://hdl.handle.net/10342/5540

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Internal Medicine