Radonak J, Vajó J, Jéger T, Stebnický M, Eperjesi O
II. chirurgická klinika FN L. Pasteura, LF UPJS, Kosice, Slovenská republika.
Rozhl Chir. 2000 Jun;79(6):228-30.
The authors demonstrate on the case-history of a 51-year-old patient the rare cause of repeated haemorrhage into the digestive tract calling for emergency surgery. On operation they found as the cause a solitary biliary concrement which penetrated into the duodenum and caused haemorrhage of its wall. The disease was described in 1896 by Bouveret as a syndrome of duodenal obturation by a large gallstone. In the described case the whole concrement did not yet penetrate into the duodenum to cause its obturation but it produced repeated haemorrhage which could not be treated by conservative methods.
作者通过一名51岁患者的病历，证明了导致消化道反复出血并需要紧急手术的罕见病因。手术中他们发现病因是一颗单独的胆结石，它穿透进入十二指肠并导致十二指肠壁出血。1896年布韦雷将这种疾病描述为大的胆结石导致十二指肠梗阻的综合征。在所描述的病例中，整个结石尚未完全穿透进入十二指肠导致梗阻，但它引发了反复出血，而保守治疗方法对此无效。
