Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman

Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to...

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Main Authors: Smith, Zachary, Totten, Jodie, Hughes, Adrienne, Strote, Jared
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2014-11-01
Series:Western Journal of Emergency Medicine
Subjects:
Online Access:http://escholarship.org/uc/item/5bm7f77k
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author Smith, Zachary
Totten, Jodie
Hughes, Adrienne
Strote, Jared
author_facet Smith, Zachary
Totten, Jodie
Hughes, Adrienne
Strote, Jared
author_sort Smith, Zachary
collection DOAJ
description Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition. [West J Emerg Med. 2015;16(1):151-153.]
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spelling doaj.art-3275aaee4ce740bebbcd74f43b3936602022-12-22T03:32:35ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182014-11-0116115115310.5811/westjem.2014.10.23049Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young WomanSmith, Zachary0Totten, Jodie1Hughes, Adrienne2Strote, Jared3Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, WashingtonUniversity of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, WashingtonUniversity of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, WashingtonUniversity of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, WashingtonBouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition. [West J Emerg Med. 2015;16(1):151-153.]http://escholarship.org/uc/item/5bm7f77kGastric Outlet ObstructionBouveret SyndromeYoung Woman
spellingShingle Smith, Zachary
Totten, Jodie
Hughes, Adrienne
Strote, Jared
Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
Western Journal of Emergency Medicine
Gastric Outlet Obstruction
Bouveret Syndrome
Young Woman
title Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
title_full Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
title_fullStr Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
title_full_unstemmed Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
title_short Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
title_sort delayed diagnosis of gastric outlet obstruction from bouveret syndrome in a young woman
topic Gastric Outlet Obstruction
Bouveret Syndrome
Young Woman
url http://escholarship.org/uc/item/5bm7f77k
work_keys_str_mv AT smithzachary delayeddiagnosisofgastricoutletobstructionfrombouveretsyndromeinayoungwoman
AT tottenjodie delayeddiagnosisofgastricoutletobstructionfrombouveretsyndromeinayoungwoman
AT hughesadrienne delayeddiagnosisofgastricoutletobstructionfrombouveretsyndromeinayoungwoman
AT strotejared delayeddiagnosisofgastricoutletobstructionfrombouveretsyndromeinayoungwoman