内镜治疗成功治愈胆结石所致十二指肠球部梗阻（布韦雷综合征）。
Duodenal bulb obstruction caused by a gallstone (Bouveret syndrome) successfully treated with endoscopic measures.
作者信息
Hoilat Gilles Jadd, Sostre Vanessa, Hoilat Judie N, Durer Ceren, Durer Seren, Kanagalingam Gowthami, Manocha Divey
机构信息
Department of Medicine, State University of New York Upstate Medical University, Syracuse, New York.
Department of Gastroenterology, State University of New York Upstate Medical University, Syracuse, New York.
出版信息
Proc (Bayl Univ Med Cent). 2020 Jul 23;33(4):630-632. doi: 10.1080/08998280.2020.1792757.
Bouveret syndrome is the rarest variant of gallstone ileus, with a high morbidity and mortality rate as well as life-threatening complications. We present a case of an 86-year-old woman who presented with abdominal pain and was diagnosed with acute cholecystitis. After laparoscopic cholecystectomy, her symptoms did not improve. She then underwent endoscopic retrograde cholangiopancreatography and was found to have a stone causing duodenal bulb obstruction. The stone was removed using a snare, and her symptoms improved greatly. This rare case of Bouveret syndrome with no apparent fistula was successfully treated using endoscopic measures.
布韦雷综合征是胆石性肠梗阻最罕见的一种类型，具有高发病率、高死亡率以及危及生命的并发症。我们报告一例86岁女性患者，该患者因腹痛就诊，被诊断为急性胆囊炎。腹腔镜胆囊切除术后，她的症状并未改善。随后她接受了内镜逆行胰胆管造影术，发现有一枚结石导致十二指肠球部梗阻。使用圈套器取出结石后，她的症状有了很大改善。这例罕见的无明显瘘管的布韦雷综合征患者通过内镜治疗措施获得了成功治疗。
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