Q: 43 year old female is admitted to ICU via ED with severe epigastric pain associated with nausea and vomiting. On CT scan radiologist suspected Bouveret syndrome. What is Bouveret syndrome?
Answer: Bouveret syndrome is named after a nineteenth-century French physician Léon Bouveret. It is a gastric outlet obstruction (GOO) due to impaction of a gallstone in the pylorus or proximal duodenum. This is a very proximal form of gallstone ileus. Endoscopic removal may be attempted before surgical intervention.
#surgicalcriticalcare
#gastroenterology
References:
1. Singh AK, Shirkhoda A, Lal N et-al. Bouveret's syndrome: appearance on CT and upper gastrointestinal radiography before and after stone obturation. AJR Am J Roentgenol. 2003;181 (3): 828-30.
2. Nabais C, Salústio R, Morujão I et-al. Gastric outlet obstruction in a patient with Bouveret's syndrome: a case report. BMC Res Notes. 2013;6 (1): 195.
3. Guilherme P. Ramos, M.D., and Nian-En Chiang, M.D., Bouveret’s Syndrome, April 5, 2018, N Engl J Med 2018; 378:1335
No comments:
Post a Comment