伴有多发结石的胆石性肠梗阻：里格勒三联征与布韦里埃综合征并存。
Gallstone ileus with multiple stones: Where Rigler triad meets Bouveret's syndrome.
作者信息
Gaduputi Vinaya, Tariq Hassan, Rahnemai-Azar Amir A, Dev Anil, Farkas Daniel T
机构信息
Vinaya Gaduputi, Hassan Tariq, Anil Dev, Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, United States.
出版信息
World J Gastrointest Surg. 2015 Dec 27;7(12):394-7. doi: 10.4240/wjgs.v7.i12.394.
Abstract
A 53-year-old man with multiple medical conditions presented to the emergency department with complaints of vomiting, anorexia and diffuse colicky abdominal pain for 3 d. A computed tomography scan of the abdomen and pelvis showed radiographic findings consistent with Rigler triad seen in small proportion of patients with small bowel obstruction secondary to gallstone impaction. In addition there was a gastric outlet obstruction, consistent with Bouveret's syndrome. The patient underwent an exploratory laparotomy and enterotomy with multiple stones extracted. The patient had an uneventful post-surgical clinical course and was discharged home.
摘要
一名患有多种疾病的53岁男性因呕吐、厌食和弥漫性绞痛性腹痛3天就诊于急诊科。腹部和骨盆的计算机断层扫描显示的影像学表现与在少数因胆结石嵌顿导致小肠梗阻的患者中所见的里格勒三联征一致。此外，存在胃出口梗阻，符合布韦里埃综合征。患者接受了剖腹探查术和肠切开术，取出了多枚结石。患者术后临床过程平稳，出院回家。
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