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布韦雷综合征:胃出口梗阻的罕见病因及治疗选择

Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction and Treatment Options.

作者信息

Khan Aqsa, Khan Tooba, Mushtaq Kamran, Zelt Christina, Sharma Neil

机构信息

Internal Medicine, Parkview Health, Fort Wayne, USA.

Internal Medicine, Azad Jammu Kashmir Medical College, Muzaffarabad, PAK.

出版信息

Cureus. 2025 Jan 6;17(1):e77032. doi: 10.7759/cureus.77032. eCollection 2025 Jan.

DOI:10.7759/cureus.77032
PMID:39912027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11798651/
Abstract

Bouveret syndrome is an uncommon condition that leads to gastric outlet obstruction. Diagnosis and treatment may get delayed due to non-specific presentation and rarity of the condition, which is associated with high morbidity and mortality. We present a case of a 62-year-old female who presented with epigastric pain and nausea and was diagnosed with Bouveret syndrome. Despite the low success rate, endoscopy should be the first-line diagnostic and therapeutic procedure and is associated with a low mortality rate as compared to surgical intervention. This case underscores the diagnostic and therapeutic challenges of Bouveret syndrome.

摘要

布韦雷综合征是一种导致胃出口梗阻的罕见病症。由于其临床表现不具特异性且发病率低,诊断和治疗可能会被延误,而这又与高发病率和死亡率相关。我们报告一例62岁女性患者,她因上腹部疼痛和恶心就诊,被诊断为布韦雷综合征。尽管成功率较低,但内镜检查仍应作为一线诊断和治疗手段,与手术干预相比,其死亡率较低。该病例凸显了布韦雷综合征在诊断和治疗方面的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/9ede6660e077/cureus-0017-00000077032-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/6eb230133c27/cureus-0017-00000077032-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/9d6198e74eba/cureus-0017-00000077032-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/9ede6660e077/cureus-0017-00000077032-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/6eb230133c27/cureus-0017-00000077032-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/9d6198e74eba/cureus-0017-00000077032-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fc/11798651/9ede6660e077/cureus-0017-00000077032-i03.jpg

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1
Bouveret Syndrome: A Rare Cause of Gastric Outlet Obstruction and Treatment Options.布韦雷综合征:胃出口梗阻的罕见病因及治疗选择
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本文引用的文献

1
Laparoscopic Management of Bouveret's Syndrome after Failed Endoscopic Approach.内镜治疗失败后布韦雷氏综合征的腹腔镜治疗
Case Rep Surg. 2019 Apr 18;2019:7067240. doi: 10.1155/2019/7067240. eCollection 2019.
2
Impacted duodenal gallstone presenting as gastric outlet obstruction: a rare case of Bouveret syndrome.以胃出口梗阻为表现的嵌顿性十二指肠胆结石:一例罕见的布韦雷综合征病例
ANZ J Surg. 2020 Mar;90(3):379-381. doi: 10.1111/ans.15142. Epub 2019 Apr 15.
3
Endoscopic versus surgical treatment for a rare form of gallstone ileus: Bouveret's syndrome. Two case reports and review of the literature.
内镜治疗与手术治疗罕见类型的胆石性肠梗阻:布韦雷综合征。两例病例报告及文献综述
Ann Ital Chir. 2018;89:162-167.
4
From Bouveret's Syndrome to Gallstone Ileus: The Journey of a Migrating Stone!从布韦雷氏综合征到胆石性肠梗阻:一颗游走结石的历程!
Cureus. 2018 Mar 26;10(3):e2370. doi: 10.7759/cureus.2370.
5
Bouveret syndrome: current management strategies.布韦里综合征:当前的管理策略
Clin Exp Gastroenterol. 2018 Feb 15;11:69-75. doi: 10.2147/CEG.S132069. eCollection 2018.
6
A Hard Nut to Crack: Bouveret's Syndrome.难啃的硬骨头:布韦雷氏综合征
Clin Gastroenterol Hepatol. 2019 Apr;17(5):e41. doi: 10.1016/j.cgh.2018.02.003. Epub 2018 Feb 7.
7
Gallstone ileus of the duodenum: an unexpected presentation of Bouveret's syndrome.十二指肠胆石性肠梗阻:布韦里综合征的一种意外表现。
BMJ Case Rep. 2017 Aug 7;2017:bcr-2017-220324. doi: 10.1136/bcr-2017-220324.
8
Novel treatment options for Bouveret's syndrome: a comprehensive review of 61 cases of successful endoscopic treatment.布韦雷特综合征的新型治疗选择:61例成功内镜治疗的综合回顾
Expert Rev Gastroenterol Hepatol. 2016 Nov;10(11):1245-1255. doi: 10.1080/17474124.2016.1241142. Epub 2016 Oct 5.
9
Bouveret syndrome: A fatal diagnostic dilemma of gastric outlet obstruction.布韦雷综合征:胃出口梗阻的致命诊断难题。
Ulus Travma Acil Cerrahi Derg. 2015 Mar;21(2):157-9. doi: 10.5505/tjtes.2015.62558.
10
Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature.布韦雷氏综合征:一种被忽视的诊断。病例报告及文献综述。
Int Surg. 2014 Nov-Dec;99(6):819-23. doi: 10.9738/INTSURG-D-14-00087.1.