Schweiger F, Shinder R
Department of Internal Medicine (Gastroenterology) and Pathology, South-East Health Care Corporation, Moncton Hospital, New Brunswick.
Can J Gastroenterol. 1997 Sep;11(6):493-6. doi: 10.1155/1997/182768.
Gastric outlet obstruction caused by a large gallstone in the duodenum or pylorus (Bouveret's syndrome) is a rare complication of gallstone disease. The presenting symptoms are often nonspecific and include nausea, vomiting, epigastric pain and a history of gallbladder disease. Although the diagnosis is established only at surgery in many cases, preoperative recognition by imaging techniques and endoscopy is desirable. Surgical treatment aims at removal of the ectopic gallstone, closure of the fistula and cholecystectomy. A case of Bouveret's syndrome is presented where endoscopic extraction of the duodenal gallstone was accomplished providing definitive treatment for this patient.
十二指肠或幽门处的大结石导致的胃出口梗阻（布韦雷氏综合征）是胆石症的一种罕见并发症。其呈现的症状通常不具有特异性，包括恶心、呕吐、上腹部疼痛以及胆囊疾病史。尽管在许多情况下仅在手术时才能确诊，但通过成像技术和内镜检查进行术前识别是可取的。手术治疗旨在取出异位结石、闭合瘘管并进行胆囊切除术。本文介绍了一例布韦雷氏综合征病例，其中通过内镜取出十二指肠结石，为该患者提供了确定性治疗。
