Joshi Deepak, Vosough Ali, Raymond Tom M, Fox Chris, Dhiman Arun
Department of Gastroenterology, William Harvey Hospital, Ashford, Kent, UK.
J Med Case Rep. 2007 Aug 30;1:73. doi: 10.1186/1752-1947-1-73.
An 83 year old caucasian gentleman presented with vomiting and left sided abdominal pain. A subsequent upper GI endoscopy demonstrated a large smooth mass impacted within the duodenum. A cholecysto-duodenal fistula was discovered at laparotomy, with a large gallstone impacted in the duodenum. A diagnosis of Bouveret's syndrome was made. The management of this rare cause of gastric outlet obstruction is discussed.
一位83岁的白种男性因呕吐和左侧腹痛前来就诊。随后的上消化道内镜检查显示十二指肠内有一个巨大的光滑肿块。剖腹手术时发现一个胆囊十二指肠瘘,十二指肠内有一颗大的胆结石。诊断为布韦里综合征。本文讨论了这种罕见的胃出口梗阻病因的治疗方法。