Sans M, Feu F, Panés J, Piqué J M, Terés J
Servicio de Gastroenterología, Hospital Clínic i Provincial, Barcelona.
Gastroenterol Hepatol. 1996 Dec;19(10):519-20.
The case of an 81-year-old woman admitted for abdominal pain, nausea and vomiting diagnosed with Bouveret syndrome is presented. This rare disease, consisting in obstruction of gastric emptying by gallstones located in the pylorus or the duodenal bulb predominates in elderly women and represents 2% of the cases of biliary ileum. Diagnosis is based on the clinical manifestations, the existence of aerobilia, visualization of lithiasis by radiography, echography or fiber gastroscopy and the demonstration of duodenal obstruction. The treatment of choice is surgery consisting in gastrotomy or enterotomy and extraction of the stone. The importance of diagnosis and early treatment is emphasized to improve prognosis.
本文介绍了一名81岁女性因腹痛、恶心和呕吐入院，被诊断为布韦雷综合征的病例。这种罕见疾病是由位于幽门或十二指肠球部的胆结石导致胃排空受阻，在老年女性中较为常见，占胆石性肠梗阻病例的2%。诊断基于临床表现、气腹的存在、通过放射学、超声检查或纤维胃镜检查发现结石以及十二指肠梗阻的证实。首选治疗方法是手术，包括胃切开术或肠切开术以及取出结石。强调了诊断和早期治疗对改善预后的重要性。
