VOMITING AND EPIGASTRALGIA: IS IT BOUVERET SYNDROME? ABOUT A CASE

- Gastroenterology Department, Hassan II University Hospital Center of Fez Faculty of Medicine of Pharmacy and Dentistry of Fez, Sidi Mohammed Ben Abdallah University Fez.
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Bouverets syndrome is defined by a pyloroduodenal obstruction due to a blockage of a gallstone that has migrated through a cholecystoduodenal fistula. It is a rare entity from which the case of a 50-year-old patient presenting with vomiting with epigastralgia is reported, in whom abdominal ultrasound objectified an aerobic cholecystitis with cholecysto-duodenal fistula CT confirmed the ultrasound data and showed an enclosed gallstone at the duodenal level as well as oesogastroduodenalfibroscopy. The laparotomy objectified: a gallbladder attached to the genus superius with a stone measuring 4 cm which migrated at the level of the Treitz angle, the gesture consisted in the extraction of the stone and retrograde cholecystectomy as well as the resection of the fistulous path.
[Abdesslam Salih, Maria Lahlali, Asmae Lamine, Nada Lahmidani, Amine El Mekkaoui, Mounia Elyousfi, Dafr-Allah Benajah, Mohammed El Abkari, Sidi Adil Ibrahimi and Hakima Abid (2024); VOMITING AND EPIGASTRALGIA: IS IT BOUVERET SYNDROME? ABOUT A CASE Int. J. of Adv. Res. (Sep). 513-516] (ISSN 2320-5407). www.journalijar.com
Gastroenterology Department; Hassan II University Hospital Center of Fez Faculty of Medicine of pharmacy and dentistry of Fez, Sidi Mohammed Ben Abdallah University.
Morocco