Departments of General Surgery, Gastroenterology and Radiology, Ulster Hospital, Dundonald, Northern Ireland.
Ir J Med Sci. 2009 Mar;178(1):85-7. doi: 10.1007/s11845-007-0096-9. Epub 2007 Nov 1.
We present a case report of Bouveret syndrome followed by a review of the recent literature regarding the management of this condition. Bouveret syndrome is a form of gastric outlet obstruction secondary to a gallstone which has eroded through the gallbladder into the duodenum. It is an uncommon variant of gallstone ileus. Endoscopic methods have been described to extract the stone from the duodenum.
This is a case of an 85-year-old female patient who presented with a 1-week history of nausea, intermittent bilious vomiting and anorexia. Imaging confirmed the diagnosis of Bouveret syndrome caused by two large gallstones. Conventional endoscopic methods successfully extracted the impacted stones from the duodenum into the stomach but were unable to extract the stones from the stomach. A mini-transverse laparotomy and gastrotomy were performed to finally extract the stones.
我们报告了一例 Bouveret 综合征病例，并对该疾病的近期文献进行了回顾。Bouveret 综合征是一种由于胆囊结石侵蚀穿透胆囊进入十二指肠而导致的胃出口梗阻。它是一种少见的胆石性肠梗阻类型。已经描述了内镜方法来从十二指肠中取出结石。
这是一例 85 岁女性患者，其病史为 1 周恶心、间歇性胆汁性呕吐和食欲不振。影像学检查证实了由两个大的胆结石引起的 Bouveret 综合征的诊断。传统的内镜方法成功地将嵌顿的结石从十二指肠拉入胃中，但无法将结石从胃中取出。进行了小横切口开腹和胃切开术，最终将结石取出。
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