胆结石穿孔导致十二指肠球部梗阻。
Obstruction of the duodenal bulb caused by gallstone perforation.
作者信息
Weingart J, Wilhelm A, Ottenjann R
出版信息
Endoscopy. 1979 Sep;11(3):190-2. doi: 10.1055/s-0028-1098350.
PMID:488016
Abstract
Because of acute symptoms in the upper abdomen, upper gastrointestinal endoscopy was performed in a 75-year-old female patient. A large (5 cm x 10 cm) perforated gallstone was embedded in the duodenum, causing complete obstruction of the duodenal bulb. The stone was removed via pylorotomy. A fistula remained between the gallbladder and the duodenum. Cholecystectomy was not carried out because of the unfavourable cardiac condition of the patients. There was no complications.
摘要
由于上腹部出现急性症状，对一名75岁女性患者进行了上消化道内镜检查。一枚巨大（5厘米×10厘米）的穿孔胆结石嵌顿在十二指肠内，导致十二指肠球部完全梗阻。通过幽门切开术取出结石。胆囊与十二指肠之间仍存在瘘管。由于患者心脏状况不佳，未进行胆囊切除术。未出现并发症。
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