Marini Michele, Panyor Gabor, Rubertà Francesca, Marini Aldo Maria, Zefelippo Arianna, Avesani Ettore Contessini
Ann Ital Chir. 2018;89:162-167.
Bouveret's syndrome is a gastric outlet obstruction due to a gallstone impacted in the duodenal lumen or in the stomach via a bilioenteric fistula. It's the rarest form of gallstone ileus, with few cases reported in medical literature. Typically, this condition affects elderly people and causes high morbidity and mortality rates.
We present a review of the published cases of Bouveret's syndrome between 2006, year of publication of the largest case series, and 2015 with particular regard to the operative management and treatment options. Two demanding cases of Bouveret's syndrome reported in our Hospital are also described.
Bouveret's syndrome is a rare clinical condition and data reported in medical literature only derive from single case reports and case series. Therefore no clear management indications have been ruled out and treatment options are still matter of debate.
Bouveret's syndrome is a rare clinical entity with a challenging operative management. Surgical or endoscopic treatments should be tailored on patient medical conditions and clinical presentation.
Bouveret's Syndrome, Cholelithiasis, Gallstone Ileus, Gastric Outlet Obstruction, Intestinal Obstruction.
布韦雷氏综合征是一种胃出口梗阻，由胆结石通过胆肠瘘嵌顿于十二指肠腔或胃内所致。它是胆石性肠梗阻最罕见的形式，医学文献中报道的病例很少。通常，这种疾病影响老年人，且导致高发病率和死亡率。
我们对2006年（最大病例系列发表年份）至2015年间已发表的布韦雷氏综合征病例进行了综述，特别关注手术管理和治疗选择。还描述了我院报告的两例复杂的布韦雷氏综合征病例。
布韦雷氏综合征是一种罕见的临床病症，医学文献中报道的数据仅来自单病例报告和病例系列。因此，尚未排除明确的管理指征，治疗选择仍存在争议。
布韦雷氏综合征是一种罕见的临床实体，手术管理具有挑战性。手术或内镜治疗应根据患者的医疗状况和临床表现进行调整。
布韦雷氏综合征；胆石症；胆石性肠梗阻；胃出口梗阻；肠梗阻
