Digestive surgery · 1999
Bouveret's syndrome complicated by acute pancreatitis.
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Fenchel R F, Krige J E, Bornman P C
Аннотация
BACKGROUND/AIM: This study evaluated a case of Bouveret's syndrome due to a cholecystoduodenal fistula and gallstone obstruction of the duodenum, complicated by acute pancreatitis and cholecystitis.
METHODS: The presenting features, special investigations, radiological findings, operative and endoscopic procedures were reviewed.
RESULTS: Symptoms persisted after laparotomy and removal of a gallstone in the duodenum. Intra-operative endoscopy identified a second previously undetected stone impacted in the distal duodenum.
CONCLUSION: The importance of excluding more than one stone causing Bouveret's syndrome is emphasized.
METHODS: The presenting features, special investigations, radiological findings, operative and endoscopic procedures were reviewed.
RESULTS: Symptoms persisted after laparotomy and removal of a gallstone in the duodenum. Intra-operative endoscopy identified a second previously undetected stone impacted in the distal duodenum.
CONCLUSION: The importance of excluding more than one stone causing Bouveret's syndrome is emphasized.