Bouveret Sendromu: Migrate Safra Taşına Bağlı Gastrik Çıkış Obstrüksiyonu

Abstract

Bouveret sendromu, mide çıkış obstrüksiyonunun nadir görülen bir nedenidir ve genellikle kronik inflamasyona bağlı olarak gelişen bilioenterik fistül yoluyla büyük bir safra taşının gastrointestinal sisteme göç etmesiyle ortaya çıkar. Risk faktörleri arasında 2,5 cm’den büyük safra taşı öyküsü, kadın cinsiyet ve ileri yaş yer alır. Bu olguda, 74 yaşında kadın hasta, 7 gündür devam eden epigastrik ve sağ üst kadran ağrısı, bulantı ve çok sayıda safralı kusma epizodları şikayetleriyle başvurdu. Kontrastlı batın bilgisayarlı tomografisi (BT) ve üst gastrointestinal endoskopi, duodenumun ilk kısmında obstrüksiyon yapan taş benzeri bir lezyonu ortaya koydu. Cholecystoduodenal fistüle bağlı, duodenumda sıkışmış safra taşı ile seyreden Bouveret sendromu tanısı konuldu ve cerrahi müdahale ile bu tanı doğrulandı.

Keywords

• Safra Taşı
• Gastrik Çıkış Obstrüksiyonu
• Sindirim Sistemi Endoskopileri

Bouveret’s Syndrome: Gastric Outlet Obstruction from Migrated Gallstone

Abstract

Bouveret’s syndrome is a rare etiology of gastric outlet obstruction, occurring when a large gallstone migrates into the gastrointestinal tract via a bilioenteric fistula, usually due to chronic inflammation. Risk factors include a history of gallstones larger than 2.5 cm, female gender, and advanced age. A 74-year-old female presented with a 7-day history epigastric and right upper quadrant pain, accompanied by nausea and multiple episodes of bilious vomiting. Contrast-enhanced computed tomography (CT) of the abdomen and an upper gastrointestinal endoscopy confirmed an obstructing stone lesion in the first part of the duodenum. A diagnosis of Bouveret’s syndrome, due to a cholecystoduodenal fistula with an impacted gallstone in the duodenum, was made and later confirmed through surgical intervention.

Keywords

• Gallstone
• Gastric Outlet Obstructions
• Digestive System Endoscopies

References

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