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- 世界临床病例杂志期刊 \
Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic luminal laser lithotripsy:A case report
Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic luminal laser lithotripsy:A case report
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摘要：
BACKGROUND Bouveret syndrome,also known as gallstone ileus,is a rare form of gastric outlet obstruction accounting for 1%-3%of cases.This condition is most often reported in females.The diagnosis can be challenging and is often missed due to atypical presentations,which occasionally mimic gastric outlet obstruction symptoms such as nausea,vomiting,loss of appetite and hematemesis.The symptoms vary with stone size.Larger stones are managed with a surgical approach,but this carries increased morbidity and mortality.Over the past decade,the endoscopic approach has emerged as an alternative mode of treatment,but it is generally unsuccessful in the management of larger-sized stones.A literature review revealed cases of successful endoscopic treatment requiring multiple sessions for stone sizes measuring up to about 4.5 cm.Here we present a unique case of an elderly patient with Bouveret syndrome with a 5 cm stone mimicking a gastric mass and causing gastric outlet obstruction,who was successfully managed in a single session using a complete endoscopic approach with laser lithotripsy.CASE SUMMARY An 85-year-old female patient presented with 1-month history of intermittent abdominal pain,vomiting,decreased appetite and weight loss.An abdominal computed tomography showed a 4.5 cm×4.7 cm partially calcified mass at the gastric pylorus causing gastric outlet obstruction.Endoscopy showed an ulcerated fistulous opening and a large 5 cm impacted gallstone in the duodenal bulb.Endoscopic nets and baskets were used in an attempt to remove the stone,but this approach was unsuccessful.Given her advanced age,poor physical condition and underlying comorbidities,she was deemed to be high-risk for surgery.Thus,a minimally invasive approach using endoscopic laser lithotripsy was attempted and successfully treated the stone.Post-procedure,the patient experienced complete resolution of her symptoms with no complications and was able to tolerate her diet.She was subsequently discharged home at 48 h,with an uneventful recovery.CONCLUSION
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| 篇名 | Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic luminal laser lithotripsy:A case report | ||
| 来源期刊 | 世界临床病例杂志 | 学科 | 医学 |
| 关键词 | Gastric outlet obstruction Bouveret syndrome Laser lithotripsy Holmium laser lithotripsy Holmium and neodymium yttrium aluminum garnet lasers Case report | ||
| 年，卷（期） | 2020,（22） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 5701-5706 | |
| 页数 | 6页 | 分类号 | R73 |
| 字数 | 语种 | ||
| DOI | |||
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Gastric
outlet
obstruction
Bouveret
syndrome
Laser
lithotripsy
Holmium
laser
lithotripsy
Holmium
and
neodymium
yttrium
aluminum
garnet
lasers
Case
report
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世界临床病例杂志
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百世登出版集团有限公司
出版周期：
半月刊
ISSN：
2307-8960
CN：
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出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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433
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1
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0
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