tailieunhanh - Báo cáo y học: "A possible variant of Bouveret’s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A possible variant of Bouveret’s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report A possible variant of Bouveret s syndrome presenting as a duodenal stump obstruction by a gallstone after Roux-en-Y gastrectomy a case report Shruti Mittal Robert P Sutcliffe Ashish Rohatgi and Simon W Atkinson Address Department of Surgery St Thomas Hospital Lambeth Palace Road London SE1 7EH UK Email RPS - rp_sutcliffe@ Corresponding author Published 28 May 2009 Received 10 April 2008 Journal of Medical Case Reports 2009 3 7301 doi 1752-1947-3-7301 Accepted 23 January 2009 This article is available from http jmedicalcasereports article view 7301 2009 Mittal et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Bouveret s syndrome is characterized by gastric outlet obstruction due to a gallstone in the duodenum usually in association with a cholecystoduodenal fistula. Case presentation We report the case of a 69-year-old Caucasian man who developed duodenal stump obstruction due to an impacted gallstone after having previously undergone Roux-en-Y gastrectomy. Conclusions Duodenal stump obstruction after Roux-en-Y gastrectomy is rare and may be difficult to manage. Patients who present with upper gastrointestinal or pancreatobiliary pathology after previous gastric surgery should be managed in centres with the availability of appropriate endoscopic and surgical experience. Introduction Bouveret s syndrome is a rare complication of gallstone disease that is characterized by gastric outlet obstruction secondary to an impacted gallstone in the duodenum 1 . This is usually in association with a cholecystoduodenal fistula 1 . We present an unusual case of duodenal stump obstruction by a gallstone in a .