Rossi Daniel, Khan Uzer, McNatt Stephen, Vaughan Richard
West Virginia University, USA.
W V Med J. 2010 Mar-Apr;106(2):18-22.
Bouveret syndrome is characterized by the migration of a gallstone through a cholecystenteric fistula into the proximal duodenum resulting in gastric outlet obstruction. Bouveret syndrome is a rare phenomenon that most commonly occurs in females and the elderly. A 79-year-old female presented with symptoms of gastric outlet obstruction and was diagnosed with Bouveret syndrome. This report describes the symptoms, diagnosis, and management of Bouveret syndrome, as well as its prevalence and differentiation from gallstone ileus. Patients with Bouveret syndrome present with varied, non-specific symptoms that may include emesis, abdominal pain, anorexia, and abdominal distention. Computed tomography remains the diagnostic modality of choice. Although different techniques are reported, surgical intervention is almost always required in the treatment of Bouveret syndrome.
布韦雷综合征的特征是胆结石通过胆囊肠瘘迁移至十二指肠近端，导致胃出口梗阻。布韦雷综合征是一种罕见现象，最常见于女性和老年人。一名79岁女性出现胃出口梗阻症状，被诊断为布韦雷综合征。本报告描述了布韦雷综合征的症状、诊断、治疗，以及其患病率和与胆石性肠梗阻的鉴别。布韦雷综合征患者表现出多样的非特异性症状，可能包括呕吐、腹痛、厌食和腹胀。计算机断层扫描仍然是首选的诊断方法。尽管报道了不同的技术，但布韦雷综合征的治疗几乎总是需要手术干预。
