Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman
[Article]
Smith, Zachary; Totten, Jodie; Hughes, Adrienne; Strote, Jared
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):-0.]
2015
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
16/1
Smith, Zachary; Totten, Jodie; Hughes, Adrienne; Strote, Jared