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Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of "Bouveret's syndrome".胆囊结石经胆囊胃瘘迁移导致的间歇性胃出口梗阻：“布韦雷综合征”的一种新变体
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[Bouveret's syndrome: a rare clinical variant of gallstone ileus].[布韦雷氏综合征：一种罕见的胆石性肠梗阻临床变异型]
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Bouveret's syndrome: a case report and a review of the literature.布韦雷氏综合征：一例病例报告及文献综述
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Cholecystogastric fistula: a brief report and review of the literature.胆囊胃瘘：一篇简短报告及文献综述
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Carcinoma Gall Bladder with Bouveret's Syndrome: A Rare Cause of Gastric Outlet Obstruction.胆囊癌伴布韦雷氏综合征：胃出口梗阻的罕见病因。
Indian J Surg. 2010 Aug;72(4):350-1. doi: 10.1007/s12262-010-0145-x. Epub 2010 Nov 23.
10
Another new variant of Bouveret's syndrome.布韦雷特综合征的另一种新变体。
World J Gastroenterol. 2009 Jan 21;15(3):378-9. doi: 10.3748/wjg.15.378.

本文引用的文献

1
INTESTINAL OBSTRUCTION FROM GALLSTONES.胆结石所致肠梗阻
Ann Surg. 1942 May;115(5):721.b2-735. doi: 10.1097/00000658-194205000-00002.
2
Duodenal obstruction by gallstones (Bouveret's syndrome): a review of the literature.胆结石所致十二指肠梗阻（布韦雷综合征）：文献综述
Endoscopy. 2005 Jan;37(1):82-7. doi: 10.1055/s-2004-826100.
3
Successful laserlithotripsy in Bouveret's syndrome using a new frequency doubled doublepulse Nd:YAG laser (FREDDY).使用新型倍频双脉冲Nd:YAG激光（FREDDY）成功治疗布韦雷氏综合征的激光碎石术
Scand J Gastroenterol. 2004 Aug;39(8):791-4. doi: 10.1080/00365520410005937.
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Gallstone ileus analysis of radiological findings in 27 patients.27例胆石性肠梗阻的影像学表现分析
Eur J Radiol. 2004 Apr;50(1):23-9. doi: 10.1016/j.ejrad.2003.11.011.
5
Bouveret's syndrome complicated by a distal gallstone ileus.布韦雷综合征并发远端胆石性肠梗阻。
World J Gastroenterol. 2003 Dec;9(12):2873-5. doi: 10.3748/wjg.v9.i12.2873.
6
Management of gallstone ileus.胆结石性肠梗阻的治疗
J Hepatobiliary Pancreat Surg. 2003;10(4):299-302. doi: 10.1007/s00534-002-0806-7.
7
Case report. CT, MR cholangiopancreatography, and endoscopy findings in Bouveret's syndrome.病例报告。布韦雷氏综合征的CT、磁共振胰胆管造影及内镜检查结果。
AJR Am J Roentgenol. 2003 Apr;180(4):1033-5. doi: 10.2214/ajr.180.4.1801033.
8
Bouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser.钬激光碎石术后并发远端胆石性肠梗阻的布韦雷综合征
BMC Gastroenterol. 2002 Jun 18;2:15. doi: 10.1186/1471-230x-2-15.
9
Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.胆结石疾病的并发症：Mirizzi综合征、胆囊胆总管瘘和胆石性肠梗阻。
Am J Gastroenterol. 2002 Feb;97(2):249-54. doi: 10.1111/j.1572-0241.2002.05451.x.
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Gallbladder stones: imaging and intervention.胆囊结石：影像学与干预措施
Radiographics. 2000 May-Jun;20(3):751-66. doi: 10.1148/radiographics.20.3.g00ma16751.

胆囊结石经胆囊胃瘘迁移导致的间歇性胃出口梗阻：“布韦雷综合征”的一种新变体

Intermittent gastric outlet obstruction due to a gallstone migrated through a cholecysto-gastric fistula: a new variant of "Bouveret's syndrome".

作者信息

Arioli Dimitry, Venturini Ivo, Masetti Michele, Romagnoli Elisa, Scarcelli Antonella, Ballesini Pietro, Borghi Athos, Barberini Alessandro, Spina Vincenzo, De Santis Mario, Di Benedetto Fabrizio, Gerunda Giorgio Enrico, Zeneroli Maria Luisa

机构信息

Medicina Interna II, Department of Medicine and Medical Specialties, Universita di Modena e Reggio Emilia, Via del pozzo 71, Modena 41100, Italy.

出版信息

World J Gastroenterol. 2008 Jan 7;14(1):125-8. doi: 10.3748/wjg.14.125.

DOI:10.3748/wjg.14.125
PMID:18176974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2673376/
Abstract

Bouveret's syndrome, defined as gastric outlet obstruction due to a large gallstone, is still one of the most dramatic biliary gallstone complications. Although new radiological and endoscopic techniques have made pre-surgical diagnosis possible in most cases and the death rate has dropped dramatically, "one-stage surgery" (biliary surgery carried out at the same time as the removal of the gut obstruction) should be still considered as the gold standard for the treatment of gallstone ileus.In this case, partial gastric outlet obstruction resulted in an atypical and insidious clinical presentation that allowed us to perform the conventional one-stage laparatomic procedure that completely solved the problem, thus avoiding any further complications.

摘要

布韦雷综合征定义为因巨大胆结石导致的胃出口梗阻，仍是最严重的胆石症并发症之一。尽管新的放射学和内镜技术已使大多数病例的术前诊断成为可能，且死亡率已大幅下降，但“一期手术”（在解除肠道梗阻的同时进行胆道手术）仍应被视为治疗胆石性肠梗阻的金标准。在本病例中，部分胃出口梗阻导致了非典型且隐匿的临床表现，使我们能够实施传统的一期腹腔镜手术，该手术彻底解决了问题，从而避免了任何进一步的并发症。