Runyan Brianne, Caparelli Michael L, Batey Jason, Allamaneni Shyam, Perlman Steven
Department of General Surgery, The Jewish Hospital of Cincinnati, Cincinnati, OH, USA.
Department of Radiology, The Jewish Hospital of Cincinnati, Cincinnati, OH, USA.
Ann Hepatobiliary Pancreat Surg. 2021 Feb 28;25(1):139-144. doi: 10.14701/ahbps.2021.25.1.139.
Bouveret syndrome is defined as gastric outlet obstruction secondary to the impaction of a large gallstone in the proximal gastrointestinal tract. The obstruction occurs as result of a bilio-enteric or bilio-gastric fistula. This clinical entity is a rare variant of the more commonly recognized gallstone ileus, which tends to cause small bowel obstruction of the terminal ileum. The typical presentation of Bouveret syndrome consists of nausea, vomiting and abdominal pain secondary to obstruction. Diagnosis often requires radiographic imaging with computed tomography, which typically shows pneumobilia or a cholecystoduodenal fistula. Herein is a series consisting of three cases of Bouveret syndrome involving a bilioenteric, cholecystoduodenal, and choledochoduodenal fistula, respectfully, all of which required operative management. A discussion of the current literature regarding management of this rare syndrome follows.
布韦雷综合征的定义为近端胃肠道内大的胆结石嵌顿继发胃出口梗阻。梗阻是由胆肠或胆胃瘘引起的。这种临床病症是更常见的胆石性肠梗阻的罕见变体，后者往往导致回肠末端的小肠梗阻。布韦雷综合征的典型表现为继发于梗阻的恶心、呕吐和腹痛。诊断通常需要计算机断层扫描进行影像学检查，其典型表现为气腹或胆囊十二指肠瘘。本文报告了3例布韦雷综合征病例，分别涉及胆肠瘘、胆囊十二指肠瘘和胆总管十二指肠瘘，所有病例均需手术治疗。随后将对有关这种罕见综合征治疗的当前文献进行讨论。
