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空肠胆石性肠梗阻：胆石嵌顿的罕见部位。

Jejunal gallstone ileus: an unusual site of gallstone impaction.

作者信息

Garg Mandeep Kumar, Galwa Ram Prakash, Goyal Deepak, Khandelwal N

机构信息

Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, Sector-12, Madhya Marg, Chandigarh, U.T., 160012, India.

出版信息

J Gastrointest Surg. 2009 Apr;13(4):821-3. doi: 10.1007/s11605-008-0533-8. Epub 2008 May 17.

DOI:10.1007/s11605-008-0533-8
PMID:18484141
Abstract

INTRODUCTION

Gallstone ileus is a life-threatening surgical emergency where characteristic imaging can be diagnostic. Jejunum is the one of the rare sites of gallstone impaction.

MATERIALS AND METHODS

We hereby emphasize the role of multidetector computed tomography (MDCT) by describing a case of jejunal gallstone ileus with cholecystoduodenal fistula in a 59-year-old lady who presented with symptoms and signs of proximal small bowel obstruction.

CONCLUSION

MDCT of the abdomen established the diagnosis, and the patient managed surgically.

摘要

引言

胆结石性肠梗阻是一种危及生命的外科急症，特征性影像学检查可用于诊断。空肠是胆结石嵌顿的罕见部位之一。

材料与方法

我们在此通过描述一例59岁女性患者的空肠胆结石性肠梗阻合并胆囊十二指肠瘘的病例，强调多排螺旋计算机断层扫描（MDCT）的作用。该患者表现出近端小肠梗阻的症状和体征。

结论

腹部MDCT确诊了病情，患者接受了手术治疗。

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BMJ Case Rep. 2014 Dec 3;2014:bcr2014208213. doi: 10.1136/bcr-2014-208213.
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Bowel hath no fury like a gallbladder inflamed.肠腑之怒，莫甚于胆囊发炎。

本文引用的文献

1
Gallstone ileus: report of two cases and review of the literature.胆石性肠梗阻：两例报告并文献复习
World J Gastroenterol. 2007 Feb 28;13(8):1295-8. doi: 10.3748/wjg.v13.i8.1295.
2
Role of helical CT in diagnosis of gallstone ileus and related conditions.螺旋CT在胆石性肠梗阻及相关病症诊断中的作用
AJR Am J Roentgenol. 2005 Nov;185(5):1159-65. doi: 10.2214/AJR.04.1371.
3
A comparison of two surgical strategies for the emergency treatment of gallstone ileus.两种手术策略用于治疗胆石性肠梗阻的急诊治疗的比较。
J Surg Case Rep. 2014 Apr 22;2014(4). doi: 10.1093/jscr/rju028. Print 2014 Apr.
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Gallstone ileus: One-stage surgery in a patient with intermittent obstruction.胆囊结石性肠梗阻：间歇性梗阻患者的一期手术。
World J Gastrointest Surg. 2010 May 27;2(5):172-6. doi: 10.4240/wjgs.v2.i5.172.
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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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Gallstone ileus: a review of 1001 reported cases.胆结石性肠梗阻：对1001例报告病例的综述
Am Surg. 1994 Jun;60(6):441-6.
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Gallstone ileus.胆石性肠梗阻
Br J Surg. 1990 Jul;77(7):737-42. doi: 10.1002/bjs.1800770707.
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Gallstone ileus. Review of the literature and presentation of thirty-four new cases.胆结石性肠梗阻。文献综述及34例新病例报告
Am J Surg. 1975 May;129(5):552-8. doi: 10.1016/0002-9610(75)90315-3.