Povar Echeverria M, Boudet Barraca J M, Auquilla Clavijo P E
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An Sist Sanit Navar. 2016 Dec 30;39(3):429-432. doi: 10.23938/ASSN.0243.
We report the case of a 94-year-old woman with Bouveret's syndrome, where endoscopic treatment was performed. Bouveret’s syndrome is a gastric outlet obstruction due to gallstone impaction within the duodenum. It is the least frequent presentation of gallstone ileus. Gallstone ileus is a complication of cholelithiasis and has a high morbidity and mortality. Therefore, it requires an early diagnosis and urgent treatment, which is usually surgical. The peculiarity of this case is that we obtained the full resolution of the symptoms by endoscopic treatment in an elderly patient with high surgical risk.
我们报告了一例94岁患有布韦雷氏综合征的女性患者,该患者接受了内镜治疗。布韦雷氏综合征是由于胆结石嵌顿于十二指肠导致的胃出口梗阻。它是胆石性肠梗阻最不常见的表现形式。胆石性肠梗阻是胆石症的一种并发症,具有较高的发病率和死亡率。因此,它需要早期诊断和紧急治疗,通常是手术治疗。该病例的特殊之处在于,我们通过内镜治疗使一名手术风险高的老年患者的症状完全缓解。