Patel J C, Lesur G, De Cervens T, Renier J F, Hardy C, Favas A, Gompel H, Dupuy P
Service de Chirurgie générale et vasculaire, hôpital Ambroise-Paré, Boulogne.
Chirurgie. 1991;117(5-6):417-9.
We report about one case of cholecystoduodenal fistula complicated by antropyloric lithiasic obstruction, which was treated surgically with gastrotomy and extraction of the calculus, in an 82-year-old woman. This case represents an anatomic variant of Bouveret's syndrome, which is classically defined as a duodenal lithiasic obstruction. On the basis of this case, the authors discuss the diagnostic and possibly therapeutic merits of digestive endoscopy and define the main clinical, anatomical and evolutive characteristics of this unfrequent complication of biliary lithiasis.
我们报告了一例82岁女性患者，其患有并发胃幽门结石梗阻的胆囊十二指肠瘘，并通过胃切开术和结石取出术进行了手术治疗。该病例代表了布韦雷综合征的一种解剖变异，布韦雷综合征经典定义为十二指肠结石梗阻。基于此病例，作者讨论了消化内镜检查的诊断及可能的治疗价值，并明确了这种罕见的胆石症并发症的主要临床、解剖学及演变特征。
