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Ann Thorac Surg 2006;81:1493-1495
© 2006 The Society of Thoracic Surgeons

Case report

Bouveret Meets Boerhaave

Biren P. Modi, MD, Christopher Owens, MD, Stanley W. Ashley, MD, Yolonda L. Colson, MD, PhD *

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachussetts

Accepted for publication April 18, 2005.

* Address correspondence to Dr Colson, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 (Email: ycolson{at}partners.org).

Rarely, biliary-enteric fistula can result in duodenal obstruction or Bouveret's syndrome. Boerhaave's syndrome is a distal esophageal rupture in the setting of severe emesis. This case is the first reported successful management of these clinical scenarios occurring simultaneously and highlights important features in presentation, diagnosis, and surgical treatment.






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