RESUMO
Hypertrophic pyloroduodenal tuberculosis is a rare cause of Gastric Outlet Obstruction (GOO) often forgotten in the differential diagnosis of gastric outlet obstruction. Since laboratory and radiological investigations often prove inconclusive in reaching the diagnosis of hypertrophic pyloroduodenal tuberculosis, surgery has a key role in the management of hypertrophic pyloroduodenal tuberculosis. Postoperative anti-tuberculosis chemotherapy (ATT) becomes imperative for complete resolution of hypertrophic pyloroduodenal tuberculosis. This case report describes the condition and management in a young girl.
Assuntos
Duodenopatias/diagnóstico , Duodeno/patologia , Obstrução da Saída Gástrica/diagnóstico , Piloro/patologia , Tuberculose Gastrointestinal/diagnóstico , Adulto , Antineoplásicos/uso terapêutico , Duodenopatias/complicações , Duodenopatias/cirurgia , Feminino , Obstrução da Saída Gástrica/tratamento farmacológico , Obstrução da Saída Gástrica/etiologia , Humanos , Complicações Pós-Operatórias/tratamento farmacológico , Tuberculose Gastrointestinal/complicações , Tuberculose Gastrointestinal/cirurgiaRESUMO
Gastric Outlet Obstruction (GOO) due to impaction of a gallstone in the duodenum after migration through a bilioduodenal fistula is known as Bouveret's syndrome. Its clinical symptoms are entirely vague and nonspecific. Because of its rarity, insidiousness and unpredictable symptomatology, Bouveret's syndrome is never thought of in the differential diagnosis as aetiology of gastric outlet obstruction. Recent advances in fiberoptics technology, advent of modern imaging modalities and minimally-invasive techniques like endoscopy and laparoscopy has brought a great revolution in the management of Bouveret's syndrome and have tremendously decreased morbidity and mortality associated with this rare clinical entity.
