Bouveret Disease

Bouveret's disease is a rare surgical condition characterized by the appearance of blood in the abdominal cavity due to a rupture of the inner lining of the intestine or mesentery. This condition usually develops after abdominal trauma, tumor, abscess, previous surgery or other pathological processes in the abdominal cavity.

Clinical symptoms of Bouveret's disease are manifested by pain and hemorrhage at the site of injury, vomiting blood (mixed with traces of gastric contents), lack of stool, and signs of hemorrhagic shock. Diagnosis of the disease is based on medical history, physical examination and abdominal ultrasound, gastroscopy and irrigoscopy.

The first stage of treatment is to eliminate the cause of the disease. Patients undergo drainage of abdominal abscesses, as well as operations to remove tumors, diverticula, foreign bodies or dilated veins. Symptomatic therapy is aimed at correcting electrolyte balance, stopping bleeding, reducing acidity and pain, and maintaining adequate hemodynamics.

The prognosis of Bouveret's disease depends on the degree of damage to the intestinal vessels and the adequacy of surgical intervention. Most often it is unfavorable, and the mortality rate in patients in the acute period is