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上消化道胆结石性肠梗阻:病例系列

Gallstone ileus of upper gastrointestinal tract: A case series.

作者信息

Ibrarullah Mohammad, Samantaray Pramod K, Meher Sadananda, Bruno Wani Hamza

机构信息

Department of Surgical Gastroenterology, Apollo Hospitals, Bhubaneswar, 751 005, India.

Department of Surgery, Capital Hospital, Bhubaneswar, 751 001, India.

出版信息

Indian J Gastroenterol. 2019 Jun;38(3):273-275. doi: 10.1007/s12664-019-00954-7. Epub 2019 Jun 12.

DOI:10.1007/s12664-019-00954-7
PMID:31190230
Abstract

Three patients with gallstone ileus are presented here. All of them were diagnosed on the basis of clinical presentation, endoscopy, and abdominal ultrasonography (USG) findings. We, therefore, propose that presence of the triad, i.e. cholecystoduodenal fistula on endoscopy, diseased gallbladder on USG, and clinical and radiological features of luminal obstruction should point to the diagnosis of gallstone ileus.

摘要

本文介绍了三例胆石性肠梗阻患者。所有患者均根据临床表现、内镜检查及腹部超声(USG)检查结果确诊。因此,我们认为,内镜检查发现胆囊十二指肠瘘、USG检查发现胆囊病变以及存在腔道梗阻的临床和影像学特征这三者同时出现,应可提示胆石性肠梗阻的诊断。

相似文献

1
Gallstone ileus of upper gastrointestinal tract: A case series.上消化道胆结石性肠梗阻:病例系列
Indian J Gastroenterol. 2019 Jun;38(3):273-275. doi: 10.1007/s12664-019-00954-7. Epub 2019 Jun 12.
2
Jejunal gallstone ileus: an unusual site of gallstone impaction.空肠胆石性肠梗阻:胆石嵌顿的罕见部位。
J Gastrointest Surg. 2009 Apr;13(4):821-3. doi: 10.1007/s11605-008-0533-8. Epub 2008 May 17.
3
Gallstone ileus: CT findings.胆结石性肠梗阻:CT表现
Eur Radiol. 2000;10(6):938-40. doi: 10.1007/s003300051041.
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Comparative analysis of MDCT and MRI in diagnosing chronic gallstone perforation and ileus.多层螺旋CT(MDCT)与磁共振成像(MRI)在诊断慢性胆结石穿孔及肠梗阻中的对比分析
Eur J Radiol. 2015 Oct;84(10):1835-42. doi: 10.1016/j.ejrad.2015.06.009. Epub 2015 Jun 18.
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Atypical cases of gallstone ileus evaluated with multidetector computed tomography.使用多排螺旋计算机断层扫描评估的胆石性肠梗阻非典型病例。
J Comput Assist Tomogr. 2004 Jul-Aug;28(4):523-7. doi: 10.1097/00004728-200407000-00014.
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Gallstone ileus presenting with hematemesis.以呕血为表现的胆石性肠梗阻。
Gastrointest Endosc. 2007 Sep;66(3):596-7; discussion 597. doi: 10.1016/j.gie.2007.03.003.
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Images in clinical medicine. Gallstone ileus.临床医学影像。胆石性肠梗阻。
N Engl J Med. 2010 Jan 28;362(4):345. doi: 10.1056/NEJMicm0809541.
8
Gallstone ileus of the sigmoid colon: an unusual cause of large-bowel obstruction.乙状结肠胆结石性肠梗阻:一种罕见的大肠梗阻病因。
HPB Surg. 2010;2010:153740. doi: 10.1155/2010/153740. Epub 2010 May 31.
9
[Cholecystoduodenal fistula with subsequent gallstone ileus: case report of an unusual course].[胆囊十二指肠瘘继发胆石性肠梗阻:一例罕见病程的病例报告]
Zentralbl Chir. 1996;121(5):408-11.
10
Gallstone ileus demonstrated by CT.CT显示的胆石性肠梗阻。
J Comput Assist Tomogr. 1994 Mar-Apr;18(2):262-5. doi: 10.1097/00004728-199403000-00017.

引用本文的文献

1
Gallstone ileus after recent cholecystectomy. Case report and review of the literature.近期胆囊切除术后的胆石性肠梗阻。病例报告及文献复习。
Int J Surg Case Rep. 2021 Feb;79:470-474. doi: 10.1016/j.ijscr.2021.01.077. Epub 2021 Jan 27.

本文引用的文献

1
Gallstone ileus, clinical presentation, diagnostic and treatment approach.胆结石性肠梗阻的临床表现、诊断及治疗方法。
World J Gastrointest Surg. 2016 Jan 27;8(1):65-76. doi: 10.4240/wjgs.v8.i1.65.
2
The operative management of gallstone ileus.胆石性肠梗阻的手术治疗
Ann R Coll Surg Engl. 2010 May;92(4):279-81. doi: 10.1308/003588410X12664192076377.
3
Value of CT in the diagnosis and management of gallstone ileus.CT在胆石性肠梗阻诊断与治疗中的价值
World J Gastroenterol. 2005 Apr 14;11(14):2142-7. doi: 10.3748/wjg.v11.i14.2142.
4
Gallstone ileus: increased diagnostic sensitivity by combining plain film and ultrasound.胆石性肠梗阻:通过结合腹部平片和超声提高诊断敏感性
Abdom Imaging. 2001 Jul-Aug;26(4):401-5. doi: 10.1007/s002610000190.
5
Gallstone ileus.胆石性肠梗阻
Br J Surg. 1990 Jul;77(7):737-42. doi: 10.1002/bjs.1800770707.