Turner Anisha R., Kudaravalli Pujitha, Al-Musawi Jasim H., Ahmad Hira
Louisiana State University Shreveport
Imperial College School of Medicine
Bouveret syndrome is a rare complication of gallstone disease (0.3% to 0.5%), characterized by gastric outlet obstruction (GOO). This infrequent form of gallstone ileus arises from the impaction of a large stone in the proximal duodenum or pylorus secondary to a spontaneous fistula between the gallbladder and the duodenum or stomach (see Gallstone Ileus in the Jejunum). Due to its rare nature, only 315 cases have been reported in 50 years between 1967 and 2016. It was first described preoperatively by French surgeon M. Beassier in 1770. However, subsequently, L. Bouveret, a French physician, published 2 comprehensive case reports 1896 of this condition, and it was named after him. Bouveret syndrome has a high mortality, estimated at 12 to 30%, because an elderly age group is usually afflicted, and delay of diagnosis owing to its non-specific presentation and the complexity of the disease. Also, because the disease is rare, there is no agreed guidance for diagnostic workup and management, including endoscopic, laparoscopic, and open surgery.
布韦雷综合征是胆石症的一种罕见并发症（发生率为0.3%至0.5%），其特征为胃出口梗阻（GOO）。这种不常见的胆石性肠梗阻是由于胆囊与十二指肠或胃之间自发形成瘘管，导致大的结石嵌顿于十二指肠近端或幽门所致（见空肠胆石性肠梗阻）。由于其罕见性，在1967年至2016年的50年间仅报告了315例。1770年，法国外科医生M. 贝西耶首次在术前对其进行了描述。然而，随后法国医生L. 布韦雷在1896年发表了2篇关于这种病症的全面病例报告，该病即以他的名字命名。布韦雷综合征的死亡率很高，估计为12%至30%，这是因为通常患病的是老年人群体，且由于其表现不具特异性以及疾病的复杂性导致诊断延迟。此外，由于该病罕见，对于包括内镜检查、腹腔镜手术和开放手术在内的诊断检查和治疗，尚无一致认可的指导意见。
