Vieiro Medina María Victoria, Gómez Sanz Ramón, Bra Insa Eneida, Domínguez Sánchez Iván, de la Fuente Bartolomé Marta, Díaz Pérez David, Anisa Nutu Oana, de la Cruz Vigo Felipe
Cirugía General, Hospital 12 de Octubre, España.
Hospital Universitario 12 de Octubre.
Rev Esp Enferm Dig. 2016 Jun;108(6):376-8. doi: 10.17235/reed.2015.3779/2015.
We present the case of a 69 year old woman with a history of cholecystitis, who consulted for severe abdominal pain, nausea and vomiting. Abdominal CT showed duodenal obstruction caused by a gallstone, cholecystoduodenal fistula and pneumobilia, what is known as Bouveret's syndrome, a rare form of gallstone ileus. Additionally, she presented free duodenal and vesicular perforation to retroperitoneum at the same level of the cholecystoduodenal transit point. The patient underwent a difficult cholecystectomy, enterolithotomy, repair of the duodenal defect, extensive washing and drainage of the retroperitoneum. The postoperative course was uneventful except for a laparotomy infection.
我们报告一例69岁有胆囊炎病史的女性，她因严重腹痛、恶心和呕吐前来就诊。腹部CT显示由胆结石、胆囊十二指肠瘘和胆肠积气引起的十二指肠梗阻，即所谓的布韦雷综合征，一种罕见的胆石性肠梗阻形式。此外，她在胆囊十二指肠移行点同一水平出现十二指肠和膀胱向腹膜后游离穿孔。患者接受了困难的胆囊切除术、肠石切除术、十二指肠缺损修复、腹膜后广泛冲洗和引流。术后过程顺利，除了剖腹手术切口感染。
