胆结石嵌顿导致的大肠梗阻。
Large bowel obstruction due to impaction of a gallstone.
作者信息
Athwal Tejinderjit Singh, Howard Nicholas, Belfield Jane, Gur Ufuk
机构信息
Department of Surgery and Oncology, Royal Liverpool University Hospital, Liverpool, UK.
出版信息
BMJ Case Rep. 2012 Feb 10;2012:bcr1120115100. doi: 10.1136/bcr.11.2011.5100.
Abstract
Gallstone ileus is a complication of cholelithiasis resulting from a fistula between the gallbladder and the gastrointestinal tract. If sufficiently large, a gallstone may lodge at the narrowest part of the gastrointestinal tract, usually the terminal ileum, and present with small bowel obstruction. Here the authors present the unusual case of an 82-year-old man who developed symptoms and signs of large bowel obstruction due to an untreated gallstone, measuring 7×4.5 cm, that fistulated into the transvere colon and subsequently impacted in the sigmoid colon. An emergency laparotomy with sigmoid colotomy was undertaken to remove the obstructing gallstone, and the patient made a full recovery.
摘要
胆石性肠梗阻是胆石症的一种并发症，由胆囊与胃肠道之间形成瘘管所致。如果胆石足够大，可能会嵌顿在胃肠道最狭窄的部位，通常是回肠末端，从而导致小肠梗阻。本文作者报告了一例罕见病例，一名82岁男性因一枚未经治疗的7×4.5厘米胆石形成瘘管进入横结肠，随后嵌顿在乙状结肠，出现了大肠梗阻的症状和体征。通过急诊剖腹手术及乙状结肠切开术取出了梗阻性胆石，患者完全康复。
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本文引用的文献
1
Successful management of cholecystocolic fistula by endoscopic retrograde cholangiopancreatography: a report of two cases.经内镜逆行胰胆管造影成功治疗胆囊结肠瘘两例报告。
Hong Kong Med J. 2010 Oct;16(5):406-8.
2
The operative management of gallstone ileus.胆石性肠梗阻的手术治疗
Ann R Coll Surg Engl. 2010 May;92(4):279-81. doi: 10.1308/003588410X12664192076377.
3
Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy.采用液电碎石术成功治疗胆石性结肠-回肠石性肠梗阻。
World J Gastroenterol. 2010 Mar 28;16(12):1533-6. doi: 10.3748/wjg.v16.i12.1533.
4
Gallstone ileus: retrospective review of a single centre's experience using two surgical procedures.胆石性肠梗阻：单中心采用两种手术方法的经验回顾性研究
Singapore Med J. 2008 Aug;49(8):624-6.
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