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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jan 21, 2009; 15(3): 378-379
Published online Jan 21, 2009. doi: 10.3748/wjg.15.378
Published online Jan 21, 2009. doi: 10.3748/wjg.15.378
Another new variant of Bouveret’s syndrome
Seong-Heum Park, Tae-Jin Song, Department of Surgery, Korea University, Ansan Hospital, 516, Gojan-dong, Danwon-gu, Ansan, Gyeonggi-do 425-707, South Korea
Sang-Woo Lee, Department of Gastroenterology, Korea University, Ansan Hospital, 516, Gojan-dong, Danwon-gu, Ansan, Gyeonggi-do 425-707, South Korea
Author contributions: Lee SW performed initial diagnostic work up including the endoscopic examination, and acquisition of the images; Park SH and Song TJ performed the operation and interpreted clinical data and wrote the letter; All authors have read and approved submitted version of the letter.
Correspondence to: Seong-Heum Park, MD, Department of Surgery, Korea University Ansan Hospital, 516, Gojan-dong, Danwon-gu, Ansan, Gyeonggi-do 425-707, South Korea. pshchw@korea.ac.kr
Telephone: +82-31-4125886
Fax: +82-31-4134829
Received: November 17, 2008
Revised: December 10, 2008
Accepted: December 17, 2008
Published online: January 21, 2009
Revised: December 10, 2008
Accepted: December 17, 2008
Published online: January 21, 2009
Abstract
Although Bouveret’s syndrome, i.e. gastric outlet obstruction by a large gallstone impacted in the proximal duodenum secondary to a cholecystoduodenal fistula, is rare, its pathogenesis and clinical features are well characterized. However, existence of variant forms of the syndrome are not well known, and as far as we know, only two cases of variant Bouveret’s syndrome have been described in the English-language literature. We present a case of another new variant of Bouveret’s syndrome in a 54-year-old Korean woman.
Keywords: Duodenal obstruction, Biliary fistula, Gallstones