Matur Rifat, Yucel Tayfun, Gurdal Sibel O, Akpinar Ayhan
Taksim Egitim ve Arastirma Hastanesi I. Genel Cerrahi Klinigi, Istanbul, Turkey.
Ulus Travma Derg. 2002 Jul;8(3):179-82.
This rare syndrome first described by Bouveret in 1896, occurs when a stone migrates through a cholecysto or choledochoduodenal jistula lodging in the duodenal bulb and resulting in obstruction. Up to date, less than 100 cases reported in the literature. This rare type of gallstone ileus can be diagnosed and treated endoscopically, although there are a few previous reports of successful endoscopic, removal. However, surgical removal is safe and effective but the most controversial aspect is the proper treatment, simple enterotomy and removal ofthe gallstone alone or enterolithotomy in association with cholecystectomy and dejinitive correction ofthe biliodigestive fistula. This paper presents a case report of a 65 year old man with gastric outlet obstruction caused by a large gallstone. The diagnose and treatment of this case who was admitted in 1.General Surgical Department of Taksim Teaching and Research Hospital was researched under the reference of recent literature.
这种罕见综合征于1896年由布韦雷首次描述，当结石通过胆囊或胆总管十二指肠瘘迁移至十二指肠球部并导致梗阻时就会发生。截至目前，文献报道的病例不到100例。这种罕见类型的胆石性肠梗阻可通过内镜进行诊断和治疗，尽管之前只有少数成功内镜取出结石的报道。然而，手术取出安全有效，但最具争议的方面是恰当的治疗方法，是单纯行肠切开术并取出结石，还是行肠石切除术并联合胆囊切除术以及彻底纠正胆肠瘘。本文报告了一例65岁男性因巨大胆结石导致胃出口梗阻的病例。在参考近期文献的基础上，对该病例在塔克西姆教学与研究医院普通外科的诊断和治疗进行了研究。
