تظاهر ويژه سندرم بوورت و گزارش يك بيمار

Special presentation of bouvert syndrome and case report

Bouveret syndrome is especially a rare presentation of biliary ileus. Gall stones pass to the antrum and prepyloric area through a fistula between gallbladder and stomach and causes gastric outlet obstruction syndrome. Lion Bouveret was the first to describe the syndrome in 1883. This syndrome usually presents in old age, especially female patients, with typical signs and symptoms of gastric outlet obstruction but several presentations with many different symptoms and signs are reported. Diagnosis of the 300 worldwide reported cases of this syndrome were made following endoscopy, CT scan or ultrasonography examination. In spite of development of various non-invasive methods of intervention, surgery is still mainstay of treatment. In this case report, we describe a unique presentation of Buoveret syndrome in which penetration of gall stone into the muscular layer of stomach antrum resulted in sign and symptoms of gastric outlet obstruction.