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First case reported of Bouveret´s syndrome associated to duodenal and biliary perforation to retroperitoneum. [caso clínico]

Por: Vieiro Medina, María Victoria [Cirugía General y del Aparato Digestivo] | Gómez Sanz, Ramón [Cirugía General y del Aparato Digestivo] | Bra Insa, Eneida [Cirugía General y del Aparato Digestivo] | Domínguez Sánchez, Iván [Cirugía General y del Aparato Digestivo] | Fuente Bartolomé, Marta de la [Cirugía General y Aparato Digestivo] | Díaz Pérez, David [Cirugía General y del Aparato Digestivo] | Anisa Nutu, Oana [Cirugía General y del Aparato Digestivo] | Cruz Vigo, Felipe de la [Cirugía General y Aparato Digestivo].
Tipo de material: materialTypeLabelArtículoEditor: Revista española de enfermedades digestivas, 2016Descripción: 108(6):376-8.Recursos en línea: Solicitar documento Resumen: 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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Caso clínico Caso clínico PC17830 (Navegar estantería) Disponible

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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