BACKGROUND Bouveret's syndrome is an unusual presentation of duodenal obstruction caused by the passage of a large gallstone through a cholecystoduodenal fistula. Endoscopic therapy has been used as first-line treatment, especially in patients with high surgical risk. CASE PRESENTATION We report a 67-year-old woman who underwent an endoscopic attempt to fragment and retrieve a duodenal stone ...

Endoscopic palliation of concomitant biliary and duodenal malignant obstruction can be challenging because of difficult access to the papilla, which may consequently result in possible failure of endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic ultrasonography-guided biliary drainage (EUS-BD), either before or after duodenal stent placement, has emerged as an alternative approa...

Lemmel syndrome is a rare entity that causes biliary obstruction due to compression of the common bile duct by periampullary diverticulum. It can manifest as acute cholangitis and often underdiagnosed. However, once identified, it be successfully treated with endoscopic retrograde cholangiopancreatography, being one most used methods. should considered in elderly patients diagnosis duodenal div...

Omphalocele is a congenital defect in the abdominal wall, usually treated at birth or within 1-2 years of life depending on condition of patient and size and contents of the defect. We repaired a giant omphalocele without mesh in a 9-year-old girl. She developed duodenal obstruction in the postoperative period requiring another laparotomy and duodeno-jejunostomy to bypass obstruction.

We reported a case of duodenal obstruction caused by phytobezoar in an 11 months old infant. There was absent history of unusual food ingestion and the definitive diagnosis could only be made intraoperatively as signs of intestinal obstruction evolved. The clinical course was described with a review of literature on this rare condition.

BACKGROUND Stent palliation is the gold standard for gastric/duodenal cancer outlet obstruction. When stenting is impossible, feeding may be achieved through a gastrojejunostomy (PEG-J), but displacement of jejunal tube is frequent due to manipulation for feeding and drainage. Gastric outlet obstruction results on increased gastroesophageal reflux or extra-tube leakage. In order to reduce the j...

A previously well, 73-year-old woman presented with chest pain and was noted to have markedly abnormal cholestatic liver function tests. Magnetic resonance cholangiopancreatography (MRCP) demonstrated a multicystic mass in the pancreatic head with possible extrinsic biliary compression. She underwent endoscopic ultrasound (EUS) with cytological aspiration, which demonstrated dysplastic cellular...

We present a case of intramural duodenal haematoma caused by inferior vena caval (IVC) filter strut perforation requiring innovative open and endovascular retrieval. A 32-year-old woman presents in shock with dull epigastric pain and non-bilious vomiting. She had previously had an IVC filter for deep venous thrombosis and pulmonary embolism. Computed tomography demonstrated strut perforation in...

Multiple diverticulosis of the jejunum is an uncommon pathology small bowel. The incidence diverticulum intestine varies from 0.3 to 1.2%, out which duodenal diverticula are common that jejunal. This rare jejunal usually asymptomatic in course, made it more difficult establishing this diagnosis. may rarely lead complications such as perforation, haemorrhage, obstruction be due adhesions, volvul...