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布韦雷氏综合征：64层CT诊断与手术治疗——病例报告

Bouveret's Syndrome: 64-Slice CT Diagnosis and Surgical Management-A Case Report.

作者信息

Sharma Dinesh, Sood Rajan, Tomar Ashwani, Jhobta Anupam, Thakur Shruti, Sood R G

机构信息

Department of Radio Diagnosis, Indira Gandhi Medical College, Shimla 171001, India.

出版信息

Case Rep Radiol. 2012;2012:701216. doi: 10.1155/2012/701216. Epub 2012 Nov 21.

DOI:10.1155/2012/701216
PMID:23346445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3512245/
Abstract

Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred to as Bouveret's syndrome. We present a case of gallstone-induced duodenal obstruction in an elderly female patient, diagnosed on a 64-slice MDCT scanner. One-stage surgery, that is, stone removal and cholecystectomy, was performed resulting in relief of obstruction and complete cure. Clinical features, multidetector computed tomography (MDCT) findings, and surgical management are discussed.

摘要

由经胆囊十二指肠瘘迁移的大结石十二指肠嵌顿引起的胃出口梗阻被称为布韦雷综合征。我们报告一例老年女性患者的胆结石所致十二指肠梗阻病例，通过64层螺旋CT扫描仪确诊。实施了一期手术，即取石和胆囊切除术，梗阻得以缓解并完全治愈。本文讨论了其临床特征、多排螺旋计算机断层扫描（MDCT）表现及手术治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/b3b891298b97/CRIM.RADIOLOGY2012-701216.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/368b5c7f6a8d/CRIM.RADIOLOGY2012-701216.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/d2deee441b68/CRIM.RADIOLOGY2012-701216.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/9aab85f46826/CRIM.RADIOLOGY2012-701216.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/3ef48b95660d/CRIM.RADIOLOGY2012-701216.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/b3b891298b97/CRIM.RADIOLOGY2012-701216.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/368b5c7f6a8d/CRIM.RADIOLOGY2012-701216.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/d2deee441b68/CRIM.RADIOLOGY2012-701216.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/9aab85f46826/CRIM.RADIOLOGY2012-701216.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/3ef48b95660d/CRIM.RADIOLOGY2012-701216.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9df6/3512245/b3b891298b97/CRIM.RADIOLOGY2012-701216.005.jpg

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引用本文的文献

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Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review.一种常见疾病的罕见表现——布韦雷氏综合征：一例病例报告及系统文献综述
World J Gastrointest Surg. 2017 Jan 27;9(1):25-36. doi: 10.4240/wjgs.v9.i1.25.
2
Laparoscopic treatment of an upper gastrointestinal obstruction due to Bouveret's syndrome.腹腔镜治疗 Bouveret 综合征引起的上消化道梗阻。
World J Gastroenterol. 2013 Oct 28;19(40):6943-6. doi: 10.3748/wjg.v19.i40.6943.

本文引用的文献

1
A rare complication of a common disease: Bouveret syndrome, a case report.一种常见疾病的罕见并发症：布韦雷综合征，病例报告
World J Gastroenterol. 2006 Apr 28;12(16):2620-1. doi: 10.3748/wjg.v12.i16.2620.
2
Bouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser.钬激光碎石术后并发远端胆石性肠梗阻的布韦雷综合征
BMC Gastroenterol. 2002 Jun 18;2:15. doi: 10.1186/1471-230x-2-15.
3
Laparoscopic treatment of a gastric outlet obstruction caused by a gallstone (Bouveret's syndrome).
腹腔镜治疗由胆结石引起的胃出口梗阻（布韦雷综合征）。
Surg Endosc. 2002 Jul;16(7):1108-9. doi: 10.1007/s004640042033. Epub 2002 May 3.
4
Gastric retention caused by gallstones (Bouveret's syndrome).胆结石引起的胃潴留（布韦雷氏综合征）。
Acta Chir Scand. 1983;149(2):207-8.
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Unusual cause of gastric outlet obstruction: CT findings in Bouveret's syndrome.胃出口梗阻的罕见病因：布韦里综合征的CT表现
South Med J. 1988 Jul;81(7):919-21. doi: 10.1097/00007611-198807000-00029.
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The Bouveret syndrome: an unusual cause of hematemesis.布韦雷综合征：呕血的一种罕见病因。
Henry Ford Hosp Med J. 1990;38(1):52-4.
7
Gallstone ileus.胆石性肠梗阻
Br J Surg. 1990 Jul;77(7):737-42. doi: 10.1002/bjs.1800770707.