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A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report

INTRODUCTION: Bouveret's syndrome is characterized by gastric outlet obstruction due to a gallstone in the duodenum, usually in association with a cholecystoduodenal fistula. CASE PRESENTATION: We report the case of a 69-year-old Caucasian man who developed duodenal stump obstruction due to an...

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Autores principales: Mittal, Shruti, Sutcliffe, Robert P, Rohatgi, Ashish, Atkinson, Simon W
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726511/
https://www.ncbi.nlm.nih.gov/pubmed/19830173
http://dx.doi.org/10.1186/1752-1947-3-7301
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author Mittal, Shruti
Sutcliffe, Robert P
Rohatgi, Ashish
Atkinson, Simon W
author_facet Mittal, Shruti
Sutcliffe, Robert P
Rohatgi, Ashish
Atkinson, Simon W
author_sort Mittal, Shruti
collection PubMed
description INTRODUCTION: Bouveret's syndrome is characterized by gastric outlet obstruction due to a gallstone in the duodenum, usually in association with a cholecystoduodenal fistula. CASE PRESENTATION: We report the case of a 69-year-old Caucasian man who developed duodenal stump obstruction due to an impacted gallstone after having previously undergone Roux-en-Y gastrectomy. CONCLUSIONS: Duodenal stump obstruction after Roux-en-Y gastrectomy is rare, and may be difficult to manage. Patients who present with upper gastrointestinal or pancreatobiliary pathology after previous gastric surgery should be managed in centres with the availability of appropriate endoscopic and surgical experience.
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spelling pubmed-27265112009-10-14 A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report Mittal, Shruti Sutcliffe, Robert P Rohatgi, Ashish Atkinson, Simon W J Med Case Reports Case report INTRODUCTION: Bouveret's syndrome is characterized by gastric outlet obstruction due to a gallstone in the duodenum, usually in association with a cholecystoduodenal fistula. CASE PRESENTATION: We report the case of a 69-year-old Caucasian man who developed duodenal stump obstruction due to an impacted gallstone after having previously undergone Roux-en-Y gastrectomy. CONCLUSIONS: Duodenal stump obstruction after Roux-en-Y gastrectomy is rare, and may be difficult to manage. Patients who present with upper gastrointestinal or pancreatobiliary pathology after previous gastric surgery should be managed in centres with the availability of appropriate endoscopic and surgical experience. BioMed Central 2009-05-28 /pmc/articles/PMC2726511/ /pubmed/19830173 http://dx.doi.org/10.1186/1752-1947-3-7301 Text en Copyright ©2009 Mittal et al; licensee Cases Network Ltd. licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Mittal, Shruti
Sutcliffe, Robert P
Rohatgi, Ashish
Atkinson, Simon W
A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title_full A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title_fullStr A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title_full_unstemmed A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title_short A possible variant of Bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report
title_sort possible variant of bouveret's syndrome presenting as a duodenal stump obstruction by a gallstone after roux-en-y gastrectomy: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726511/
https://www.ncbi.nlm.nih.gov/pubmed/19830173
http://dx.doi.org/10.1186/1752-1947-3-7301
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