Zurita M, Lago J, Pastor F, Soro J A
J Chir (Paris). 1979 Oct;116(10):591-2.
Pyloro-duodenal obstruction by a gall-stone which has passed through a bilio-digestive fistula (Bouveret's syndrome) is rare. The authors report two cases. The clinical picture is that of pyloric obstruction. The diagnosis, suspected on barium meal, is today confirmed by fibre endoscopy. The treatment is fairly simple: cholecystectomy, removal of the gall stone, closure of the fistula; the prognosis depends on the general context.
胆结石经胆肠瘘排出导致的幽门十二指肠梗阻(布韦雷综合征)较为罕见。作者报告了两例病例。临床表现为幽门梗阻。钡餐检查时怀疑的诊断,如今通过纤维内镜得以确诊。治疗相当简单:胆囊切除术、取出胆结石、闭合瘘管;预后取决于总体情况。