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  • Title: Delayed diagnosis of gastric outlet obstruction from bouveret syndrome in a young woman.
    Author: Smith Z, Totten J, Hughes A, Strote J.
    Journal: West J Emerg Med; 2015 Jan; 16(1):151-3. PubMed ID: 25671026.
    Abstract:
    Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition.
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