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Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention

Bouveret's syndrome is an unusual clinical presentation of gastric-outlet obstruction and is the most infrequent variant of gallstone ileus with just over 300 cases in the literature. A 73-year-old female presented with innocuous constitutional symptoms and was found to have Mirizzi type Vb, a...

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Autores principales: Stenberg, Daniel, Jamal, Mazen M., Kaur, Harpreet, Arcerito, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082138/
https://www.ncbi.nlm.nih.gov/pubmed/35611125
http://dx.doi.org/10.1159/000522251
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author Stenberg, Daniel
Jamal, Mazen M.
Kaur, Harpreet
Arcerito, Massimo
author_facet Stenberg, Daniel
Jamal, Mazen M.
Kaur, Harpreet
Arcerito, Massimo
author_sort Stenberg, Daniel
collection PubMed
description Bouveret's syndrome is an unusual clinical presentation of gastric-outlet obstruction and is the most infrequent variant of gallstone ileus with just over 300 cases in the literature. A 73-year-old female presented with innocuous constitutional symptoms and was found to have Mirizzi type Vb, a cholecystoduodenal fistula with obstruction. Esophago-gastroduodenoscopy-attempted dislodgement was unsuccessful. A gastric-jejunal bypass was the only option due to friability of the tissue. On post-op day 5, the patient developed acute abdominal pain and was found to have gallstone ileus. This case emphasizes the importance of early surgical intervention in cases of acute on chronic cholecystitis.
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spelling pubmed-90821382022-05-23 Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention Stenberg, Daniel Jamal, Mazen M. Kaur, Harpreet Arcerito, Massimo Case Rep Gastroenterol Single Case Bouveret's syndrome is an unusual clinical presentation of gastric-outlet obstruction and is the most infrequent variant of gallstone ileus with just over 300 cases in the literature. A 73-year-old female presented with innocuous constitutional symptoms and was found to have Mirizzi type Vb, a cholecystoduodenal fistula with obstruction. Esophago-gastroduodenoscopy-attempted dislodgement was unsuccessful. A gastric-jejunal bypass was the only option due to friability of the tissue. On post-op day 5, the patient developed acute abdominal pain and was found to have gallstone ileus. This case emphasizes the importance of early surgical intervention in cases of acute on chronic cholecystitis. S. Karger AG 2022-04-07 /pmc/articles/PMC9082138/ /pubmed/35611125 http://dx.doi.org/10.1159/000522251 Text en Copyright © 2022 by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Stenberg, Daniel
Jamal, Mazen M.
Kaur, Harpreet
Arcerito, Massimo
Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title_full Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title_fullStr Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title_full_unstemmed Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title_short Mirizzi-Induced Bouveret's Syndrome: Revelations of Timely Surgical Intervention
title_sort mirizzi-induced bouveret's syndrome: revelations of timely surgical intervention
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082138/
https://www.ncbi.nlm.nih.gov/pubmed/35611125
http://dx.doi.org/10.1159/000522251
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