Abstract
Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition.
Highlights
Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula
Despite the lack of radiologic evidence of obstruction, the patient was admitted to the general surgery service with the clinical diagnosis of presumed gastric outlet obstruction likely secondary to proximal gallstone ileus
Bouveret syndrome is named after Leon Bouveret who published two case studies of this condition in 1896.1 It is defined as gastric outlet obstruction by a gallstone in the duodenum, which occurs via gallstone erosion through the intestinal wall
Summary
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 16(1)
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