Jin LongHai, Naidu Krishanth
Department of General Surgery, The Canberra Hospital, Garran, ACT, Australia.
J Surg Case Rep. 2021 May 19;2021(5):rjab183. doi: 10.1093/jscr/rjab183. eCollection 2021 May.
Bouveret syndrome is a rare form of gastric outlet obstruction. It is typically diagnosed in frail elderly patients with protracted biliary disease. Thus, it has disproportionally high rates of morbidity and mortality. A 90-year-old man presented to our tertiary hospital with acute abdominal pain and symptoms of bowel obstruction. He was diagnosed with Bouveret syndrome on abdominal computed tomography and required judicious resuscitation and an emergency laparotomy. This article highlights the key features of Bouveret syndrome, and reviews the current diagnostic modalities as well as the contemporary treatment paradigm.
布韦雷综合征是胃出口梗阻的一种罕见形式。它通常在患有迁延性胆道疾病的体弱老年患者中被诊断出来。因此,其发病率和死亡率高得不成比例。一名90岁男性因急性腹痛和肠梗阻症状就诊于我们的三级医院。他经腹部计算机断层扫描被诊断为布韦雷综合征,需要进行明智的复苏和急诊剖腹手术。本文重点介绍了布韦雷综合征的关键特征,并回顾了当前的诊断方法以及当代的治疗模式。