Alame A, Solovei G, Samarcq B, Favriel J M, Fauchart J P, Petit J, Glavier F
Service de Chirurgie A, Hôpital Manchester, Charleville, Mezières.
J Chir (Paris). 1991 Jan;128(1):34-8.
Bouveret's syndrome is a rare form of Gallstone Ileus, characterized by its duodenal site after migration through a cholecysto-duodenal fistula in almost all cases. The two cases reported emphasize the interest of endoscopy in its early diagnosis. A therapeutic schema is proposed, based upon a systematic initial endoscopic extraction trial. The surgical treatment when needed is discussed in its modalities, and adapted to a reasonable evaluation of general and local conditions.
布韦雷氏综合征是一种罕见的胆石性肠梗阻形式，几乎在所有病例中，其特征是结石通过胆囊十二指肠瘘迁移后在十二指肠部位形成。所报告的两例病例强调了内镜检查在早期诊断中的作用。本文提出了一种治疗方案，该方案基于系统的初始内镜下取石试验。文中讨论了必要时的手术治疗方式，并根据对全身和局部情况的合理评估进行调整。
