Bhattarai M, Bansal P, Patel B, Lalos A
Geisinger Health System, 100 N Academy Ave, Danville, PA 17822, United States.
Regional Hospital of Scranton,746 Jefferson Ave Scranton, PA 18510, United States.
JNMA J Nepal Med Assoc. 2016 Jan-Mar;54(201):33-35.
Bouveret's syndrome is an unusual cause of gastric outlet obstruction secondary to gallstone impaction. It is so rare that it is commonly missed in clinical practice if it is not considered in differential diagnoses of intestinal obstruction more specifically in man who does not report the history of gall stone. Furthermore, there are no definitive guidelines on approach and management of this condition. We present a seventy eight year old man who developed acute abdominal symptoms due to impaction of a gallstone in the duodenum. He did not have history of gall stone. The diagnosis was supported via CT abdomen and Endoscopy. The patient was successfully managed by exploratory laparotomy followed by anterior pylorotomy to remove the stone without cholecystectomy and fistula repair.
布韦雷综合征是继发于胆结石嵌顿的胃出口梗阻的一种罕见病因。它极为罕见，在临床实践中，如果在肠梗阻的鉴别诊断中没有更具体地考虑到这种情况，尤其是在没有胆结石病史的患者中，通常会被漏诊。此外，对于这种疾病的治疗方法和管理尚无明确的指南。我们报告一名78岁男性，因十二指肠胆结石嵌顿出现急性腹部症状。他没有胆结石病史。通过腹部CT和内镜检查确诊。患者通过剖腹探查术，随后进行前幽门切开术成功取出结石，未进行胆囊切除术和瘘管修复。
