Marco Doménech S F, López Mut J V, Fernández Garcia P, San Miguel Moncín M M, Gil Sánchez S, Jornet Fayos J, Tudela Ortells X
Servicio de Radiodiagnóstico, Hospital General de Castellón, Castellón, España.
Rev Esp Enferm Dig. 1999 Feb;91(2):144-8.
Bouveret's syndrome is an unusual presentation of gallstone ileus, due to duodenal obstruction. It is produced by the migration of biliary calculus through a cholecystogastric or cholecystoduodenal fistula. We present 3 new cases of Bouveret's syndrome, and the clinical and radiological findings on different imaging procedures (plain abdominal radiography, barium studies, ultrasonography and computed tomography). On the basis of these cases, we discuss the diagnostic and possibly therapeutic merits of digestive endoscopy and about the different surgical procedures.
布韦雷氏综合征是胆石性肠梗阻的一种罕见表现形式,由十二指肠梗阻引起。它是由于胆石通过胆囊胃瘘或胆囊十二指肠瘘迁移所致。我们报告了3例布韦雷氏综合征的新病例,以及不同影像学检查(腹部平片、钡剂造影、超声和计算机断层扫描)的临床和影像学表现。基于这些病例,我们讨论了消化内镜检查的诊断及可能的治疗价值,以及不同的外科手术方法。