West African journal of medicine
Gallstone impaction in the duodenal bulb: an uncommon cause of gastric outlet obstruction associated with gallstone emesis.
Samo registrirani uporabniki lahko prevajajo članke
Prijava / prijava
Povezava se shrani v odložišče
Ključne besede
Povzetek
We report a case of Bouveret's Syndrome (gastric outlet obstruction by gallstone) and gallstone emesis, both of which are very rare, in a 77-year old Ghanaian woman. Diagnosis depends on high index of suspicion and confirmation with endoscopy. Definitive treatment consist of enterotomy plus stone retrieval with primary excision of the diseased gallbladder and repair of the duodenal fistula.