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Int J Surg Case Rep. 2013;4(5):528-30. doi: 10.1016/j.ijscr.2013.01.017. Epub 2013 Feb 8.

"Bouveret's syndrome" presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus.

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1
Department of General & Upper Gastrointestinal Surgery, Dewsbury & District Hospital, The Mid Yorkshire Hospitals NHS Trust, Halifax Road, Dewsbury, West Yorkshire WF13 4HS, United Kingdom. Electronic address: hawkeye_wolf@hotmail.com.

Abstract

INTRODUCTION:

Bouveret's syndrome is a rare variant of gallstone ileus and describes gastric outlet obstruction secondary to an impacted stone in the duodenum. Its presentation is vague and clinical diagnosis is often difficult resulting in a delay in diagnosis.

PRESENTATION OF CASE:

We report a patient who presented initially with non-specific symptoms and subsequently with features in keeping with acute pancreatitis, but eventually was found to have Bouveret's syndrome.

DISCUSSION:

Different treatment strategies are discussed. Although endoscopic treatment combined with many newer modalities like lithotripsy have been tried, surgery remains the definitive management in the vast majority of cases.

CONCLUSION:

Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome.

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