Nagata Keiji, Fujikawa Takahisa
Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Cureus. 2024 Mar 22;16(3):e56707. doi: 10.7759/cureus.56707. eCollection 2024 Mar.
Bouveret's syndrome is a rare condition caused by a gallstone that impacts the duodenum via a cholecystoduodenal fistula and obstructs the gastric outlet. Despite its high mortality rate, the treatment strategy for Bouveret's syndrome is debatable and frequently challenging. The main issue is whether cholecystectomy and fistula repair following stone extraction should be performed concurrently with one-stage surgery. We present a case of Bouveret's syndrome that was treated with one-stage surgery using a bailout procedure.
布韦雷氏综合征是一种罕见疾病，由胆结石通过胆囊十二指肠瘘进入十二指肠并阻塞胃出口所致。尽管其死亡率很高，但布韦雷氏综合征的治疗策略仍存在争议且常常具有挑战性。主要问题在于，在取出结石后，胆囊切除术和瘘管修复是否应在一期手术中同时进行。我们报告一例采用补救手术进行一期手术治疗的布韦雷氏综合征病例。
