"bouveret's syndrome" presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus

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Abstract

INTRODUCTION: Bouveret's syndrome is a rare variant of gallstone ileus and describes gastric outlet obstruction secondary to an impacted stone in the duodenum. Its presentation is vague and clinical diagnosis is often difficult resulting in a delay in diagnosis. PRESENTATION OF CASE: We report a patient who presented initially with non-specific symptoms and subsequently with features in keeping with acute pancreatitis, but eventually was found to have Bouveret's syndrome. DISCUSSION: Different treatment strategies are discussed. Although endoscopic treatment combined with many newer modalities like lithotripsy have been tried, surgery remains the definitive management in the vast majority of cases. CONCLUSION: Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome. © 2013 Surgical Associates Ltd.

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Zafar, A., Ingham, G., & Jameel, J. K. A. (2013). “bouveret’s syndrome” presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus. International Journal of Surgery Case Reports, 4(5), 528–530. https://doi.org/10.1016/j.ijscr.2013.01.017

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