Department of Surgery, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA.
J Gastrointest Surg. 2013 Sep;17(9):1720-1. doi: 10.1007/s11605-013-2244-z. Epub 2013 Jun 18.
Gastric outlet obstruction secondary to an impacted duodenal gallstone, or Bouveret syndrome, is a rare variant of gallstone ileus. It is most common in elderly women and frequently requires endoscopic or surgical management. We present the case of an 80-year-old woman with multiple medical comorbidities who presented to our service with 2 weeks of abdominal pain and nausea. MRI revealed a 4.4-cm gallstone impacted in the duodenum with associated cholecystoduodenal fistula. She required operative exploration to remove the impacted stone and had an unremarkable post-operative course. This case demonstrates the presentation and workup of this rare disorder and the various options for treatment, which can sometimes be difficult given the typical age and associated comorbidities of the patient.
胃出口梗阻继发于十二指肠嵌顿性胆石症，又称 Bouveret 综合征，是胆石性肠梗阻的一种罕见类型。它最常见于老年女性，常需内镜或手术治疗。我们报告了 1 例 80 岁的老年女性，患有多种合并症，因腹痛和恶心就诊于我们的医疗服务机构，病程 2 周。MRI 显示 4.4cm 的胆石嵌顿于十二指肠，伴有胆肠瘘。她需要手术探查取出嵌顿的石头，术后恢复顺利。本病例展示了这种罕见疾病的表现和检查，以及各种治疗选择，鉴于患者的典型年龄和相关合并症，有时治疗选择可能比较困难。
