Biblioteca Hospital 12 de Octubre
Vieiro Medina, María Victoria Gómez Sanz, Ramón Bra Insa, Eneida Domínguez Sánchez, Iván Fuente Bartolomé, Marta de la Díaz Pérez, David Anisa Nutu, Oana Cruz Vigo, Felipe de la

First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum. [caso clínico] - Revista española de enfermedades digestivas, 2016 - 108(6):376-8.

Formato Vancouver:
Vieiro Medina MV, Gómez Sanz R, Bra Insa E, Domínguez Sánchez I, de la Fuente Bartolomé M, Díaz Pérez D et al. First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum. Rev Esp Enferm Dig. 2016 Jun;108(6):376-8.


PMID: 27322706

Contiene 12 referencias

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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