Lübbers H, Mahlke R, Lankisch P G
Department of Internal Medicine, Municipal Clinic of Lüneburg, Lüneburg, Germany.
J Intern Med. 1999 Dec;246(6):593-7. doi: 10.1046/j.1365-2796.1999.00597.x.
In a 91-year-old female patient admitted with an ileus, ultrasound and computed tomography demonstrated the obstruction of the upper jejunum by a large gallstone. Due to concurrent diseases the patient was unfit for surgery. An attempt was made to remove the impacted stone endoscopically. After successful mobilization and fragmentation by mechanical lithotripsy the obstruction was cleared away. Since the patient improved considerably after this procedure, the gallbladder and the cholecystoduodenal fistula were left in place.
一名91岁女性患者因肠梗阻入院，超声和计算机断层扫描显示一枚大的胆结石阻塞了空肠上段。由于并存疾病，该患者不宜进行手术。尝试通过内镜取出嵌顿结石。经机械碎石成功将结石松动并破碎后，梗阻解除。由于该患者在此手术后病情明显改善，故保留胆囊和胆囊十二指肠瘘。
