Journals on Medical Informatics - BJSTR Journal

Abstract

#Bouveret Syndrome is a rare complication in which a gallstone impacts in the duodenum and cause a gastric outlet obstruction. The gallstone passes through a fistula between the #gallbladder and adhered portion of gastrointestinal tract. The formation of the fistula occurs after multiple episodes of cholecystitis. The impacted gallstone provoke gallbladder inflammation and pressure through the gallbladder wall causing erosion and allowing the stone to arrive to the duodenum. #Gallstone ileus is responsible for 1-4% of all #gastrointestinal obstruction and Bouveret Syndrome represents 2-3% of those cases [1]. The rarity of the syndrome can be explained by the fact that the majority of stones are small and doesn’t cause #gastrointestinal obstruction. The stones that can cause obstruction are usually larger than 2 cm and 50 - 70% of gallstone impact in the ileum [2]. Bouveret Syndrome usually affects older women, and many have serious concomitant medical #illnesses, including coronary disease, pulmonary disease, and diabetes mellitus that increases mortality and morbidity rates.

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The Use of Vaughan Procedure in Bouveret Syndrome by Fernando Ponce Leon in BJSTR