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Revista Científica Ciencia Médica
Print version ISSN 2077-3323
Abstract
CONDORI BUSTILLOS, Rocio; LOPEZ OVANDO, Micaela; PANOZO ROJAS, Mireya and FERRUFINO NAVIA, Gilberto. Bouveret Syndrome: case report. Rev Cient Cienc Méd [online]. 2015, vol.18, n.1, pp.67-70. ISSN 2077-3323.
Bouveret syndrome is a rare type of gallstone ileus, characterized by the step of calculating the gallbladder into the intestine through a fistula colecistogastroduodenal producing gastrointestinal tract obstruction. Just over 200 cases were reported in the medical literature, with an estimated mortality of 25% and a specific prognosis: comorbidity, advanced age and delay in diagnosis due to its specificity. For diagnostic they are useful: plain radiography, ultrasound, computed tomography, magnetic resonance and endoscopy as more sensitive means is also used as therapeutically addition to surgery. Patient 49, who complained epigastric pain, nausea, postprandial vomiting, food intolerance, poor general condition, diagnosed with acute cholecystitis proceeding to open cholecystectomy where impacted stone was evident in the way of a corresponding cholecystogastric fístula to Bouveret syndrome.
Keywords : Cholelithiasis; Fistula; Intestinal Obstruction.