Ezberci F, Kargi H, Ergin A
Department of Surgery, University of Kahramanmaras Sutcu Imam, Faculty of Medicine, Kahramanmaras, Turkey.
Surg Endosc. 2000 Apr;14(4):372. doi: 10.1007/s004640010050. Epub 2000 Mar 9.
Gastric outlet obstruction caused by a gallstone in the duodenum or pylorus(Bouveret's syndrome) is a very rare complication of gallstone disease. Presenting symptoms include epigastric pain, nausea, and vomiting. Preoperative diagnosis is not easy. Oral endoscopy is one of the diagnostic procedures. We present a case in which the diagnosis was made by endoscopic examination. Multiple attempts at endoscopic extraction of the gallstone from the duodenum were unsuccessful. A one-stage surgical procedure consisting of the removal of the impacted stone, fistula repair, and cholecystectomy was performed in this case. The postoperative course was uneventful.
十二指肠或幽门处胆结石引起的胃出口梗阻（布韦雷综合征）是胆结石病非常罕见的并发症。临床表现包括上腹部疼痛、恶心和呕吐。术前诊断并不容易。口服内镜检查是诊断方法之一。我们报告一例通过内镜检查确诊的病例。多次尝试经内镜从十二指肠取出胆结石均未成功。本病例采用了包括取出嵌顿结石、修补瘘管和胆囊切除术的一期外科手术。术后过程顺利。
