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布韦雷氏综合征:胃出口梗阻的一种罕见表现。

Bouveret's syndrome: A rare presentation of gastric outlet obstruction.

作者信息

Yu Ya-Bin, Song Yan, Xu Jian-Bo, Qi Fu-Zhen

机构信息

Department of Hepatobiliary Surgery, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, P.R. China.

出版信息

Exp Ther Med. 2019 Mar;17(3):1813-1816. doi: 10.3892/etm.2019.7150. Epub 2019 Jan 3.

Abstract

Bouveret's syndrome refers to gastric outlet obstruction caused by the formation of a cholecystoduodenal fistula with subsequent migration and impaction of a large gallstone into the duodenum. A case of a 59-year-old male who presented to our institution with consistent abdominal pain and nausea is reported herein. Bouveret's syndrome was diagnosed after conducting a computed tomography scan. Surgery was performed wherein gallstone removal was followed by cholecystectomy and fistula repair associated with a pyloric bypass via gastro-jejunostomy. The patient recovered well following surgery and has remained free of symptoms for the last year.

摘要

布韦雷氏综合征是指因胆囊十二指肠瘘形成,随后大的胆结石移位并嵌顿于十二指肠导致的胃出口梗阻。本文报告了一例59岁男性患者,因持续腹痛和恶心前来我院就诊。经计算机断层扫描后诊断为布韦雷氏综合征。实施了手术,术中先取出胆结石,然后进行胆囊切除术,并通过胃空肠吻合术进行与幽门旁路相关的瘘管修复。患者术后恢复良好,在过去一年中一直无症状。

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