Year 2016 / Volume 108 / Number 6
Case Report
First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum

376-378

DOI: 10.17235/reed.2015.3779/2015

María Victoria Vieiro Medina, Ramón Gómez Sanz, Eneida Bra Insa, Iván Domínguez Sánchez, Marta de la Fuente Bartolomé, David Díaz Pérez, Oana Anisa Nutu, Felipe de la Cruz Vigo,

Abstract
We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret's syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum. The postoperative course was uneventful except for a laparotomy infection.
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Vieiro Medina M, Gómez Sanz R, Bra Insa E, Domínguez Sánchez I, de la Fuente Bartolomé M, Díaz Pérez D, et all. First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum. 3779/2015


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Publication history

Received: 20/03/2015

Accepted: 09/04/2015

Online First: 18/09/2015

Published: 03/06/2016

Article revision time: 9 days

Article Online First time: 182 days

Article editing time: 441 days


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