Ramon Y Cajal Calvo Juan, Bello Franco Carlota, Sesé Lacamara Laura, Costa Lorente Miguel, Moreno Caballero Leticia
Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.
Rev Fac Cien Med Univ Nac Cordoba. 2020 Dec 21;77(4):378-380. doi: 10.31053/1853.0605.v77.n4.30300.
Bouveret syndrome consists of an obstruction of the gastric outlet due to the impaction of a gallstone in the duodenal bulb after migration through a cholecystoduodenal fistula.
Patient with diffuse colicky abdominal pain, diarrhea and yellowish vomiting. The imaging tests carried out reveal significant gastric and duodenal dilation with the presence of gas at the gallbladder level with the existence of a cholecystoduodenal fistula with a rounded intraluminal image in the proximal jejunum compatible with migrated lithiasis. The patient underwent emergency surgery through an enterotomy with removal of the calculus and its closure. Discussion:
Bouveret's syndrome is a rare gallstone ileus condition that causes significant morbidity and mortality and often occurs in the elderly with significant comorbidities. Individual diagnosis and treatment strategies are required for optimal management and results, with endoscopic treatment or open surgery being the two treatments available for resolution of the condition.
Bouveret syndrome is a life-threatening condition with gastric outlet obstruction caused by large gallstones. In most cases, a CT scan is required for diagnosis, and although in some cases percutaneous and endoscopic treatments can be successful as first-line treatment, most patients require surgery to remove stones.
布韦雷综合征是指胆结石经胆囊十二指肠瘘迁移至十二指肠球部并嵌顿，导致胃出口梗阻。
患者出现弥漫性绞痛性腹痛、腹泻及黄色呕吐物。所进行的影像学检查显示胃和十二指肠显著扩张，胆囊水平存在气体，存在胆囊十二指肠瘘，空肠近端有腔内圆形影像，符合迁移性结石病表现。患者接受了急诊手术，通过肠切开术取出结石并进行缝合。讨论：
布韦雷综合征是一种罕见的胆石性肠梗阻疾病，可导致较高的发病率和死亡率，且常发生于有严重合并症的老年人。为实现最佳管理和治疗效果，需要个体化的诊断和治疗策略，内镜治疗或开放手术是可用于解决该疾病的两种治疗方法。
布韦雷综合征是一种由大的胆结石引起胃出口梗阻的危及生命的疾病。大多数情况下，诊断需要进行CT扫描，尽管在某些情况下经皮和内镜治疗作为一线治疗可能成功，但大多数患者需要手术取石。
