November 12, 2014
Notes: Yurci, Alper
Shah, Shetal N
Law, Ryan E
Walsh, Matthew R
Int J Clin Exp Pathol. 2013 Jun 15;6(7):1317-26. Print 2013.
Author Address: Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Reference Type: Journal Article
Record Number: 5334Author: Zafar, A., Ingham, G. and Jameel, J. K.
Title: “Bouveret’s syndrome” presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus
Journal: Int J Surg Case Rep
Short Title: “Bouveret’s syndrome” presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus
Alternate Journal: International journal of surgery case reports
ISSN: 2210-2612 (Electronic)
Accession Number: 23570683
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.