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Unspecific abdominal symptoms and pneumobilia: a rare case of gastrointestinal obstruction.


ABSTRACT: The case of a 77-year-old woman with symptoms of gastric outlet obstruction is presented. Transabdominal ultrasonography findings were suspicious of Bouveret's syndrome. Upper endoscopy confirmed this diagnosis. Bouveret's syndrome is a rare complication of gallstone disease caused by a bilioenteric fistula leading to gastric outlet obstruction by a gallstone and should be suspected in any patient who presents with pneumobilia without recent endoscopic retrograde cholangiopancreatography or biliary surgery.

SUBMITTER: Keller M 

PROVIDER: S-EPMC4105949 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Unspecific abdominal symptoms and pneumobilia: a rare case of gastrointestinal obstruction.

Keller Martina M   Epp Carola C   Meyenberger Christa C   Sulz Michael Christian MC  

Case reports in gastroenterology 20140501 2


The case of a 77-year-old woman with symptoms of gastric outlet obstruction is presented. Transabdominal ultrasonography findings were suspicious of Bouveret's syndrome. Upper endoscopy confirmed this diagnosis. Bouveret's syndrome is a rare complication of gallstone disease caused by a bilioenteric fistula leading to gastric outlet obstruction by a gallstone and should be suspected in any patient who presents with pneumobilia without recent endoscopic retrograde cholangiopancreatography or bili  ...[more]

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