{"pk":8326,"title":"Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman","subtitle":null,"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. [West J Emerg Med. 2015;16(1):-0.]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Gastric outlet obstruction"},{"word":"Bouveret Syndrome"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5bm7f77k","frozenauthors":[{"first_name":"Zachary","middle_name":"","last_name":"Smith","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Jodie","middle_name":"","last_name":"Totten","name_suffix":"","institution":"University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Adrienne","middle_name":"","last_name":"Hughes","name_suffix":"","institution":"University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Jared","middle_name":"","last_name":"Strote","name_suffix":"","institution":"University of Washington-Seattle Campus, Division of Emergency Medicine, Seattle, Washington","department":"None"}],"date_submitted":"2014-07-10T19:00:48Z","date_accepted":"2014-07-10T19:00:48Z","date_published":"2014-11-10T15:41:11Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8326/galley/4758/download/"}]}