Patel S A, Engel J J, Fine M S
Lutheran General Hospital, Department of Internal Medicine, Park Ridge.
Endoscopy. 1989 Nov;21(6):291-2. doi: 10.1055/s-2007-1012973.
This paper reviews the role of colonoscopy in large-bowel obstruction by a gallstone. We report the case of an elderly female with a cholecystocolonic fistula who had a large-bowel obstruction caused by a gallstone that migrated to the level of narrowing in the large bowel. After multiple attempts at removal of the stone with a snare and basket retriever, the patient was taken to the operating room and the stone was removed. Colonscopy in these circumstances can be diagnostic and possibly therapeutic.
本文综述了结肠镜检查在胆结石所致大肠梗阻中的作用。我们报告了一例患有胆囊结肠瘘的老年女性病例,该患者因胆结石迁移至大肠狭窄部位而导致大肠梗阻。在用圈套器和网篮回收器多次尝试取出结石后,患者被送往手术室并取出了结石。在这些情况下,结肠镜检查具有诊断作用,且可能具有治疗作用。