Síndrome de Bouveret: Resolución endóscopica y quirúrgica de cuatro casos clínicos / Bouveret syndrome: Report of four cases
Rev. méd. Chile
; 136(2): 163-168, feb. 2008. ilus
Article
ي Es
| LILACS
| ID: lil-483235
المكتبة المسؤولة:
BR1.1
ABSTRACT
Bouveret syndrome is a duodenal obstruction caused by a biliary stone. Aim:
To report patients with Bouveret syndrome. Material andMethods:
Retrospective review of medical records of patients with Bouveret syndrome treated between 1976 and 2006.Results:
We report three women and one man with a mean age of 62.5 years. None had a previous diagnosis of cholelithiasis. AH presented with colicky pain in the right upper quadrant and vomiting, suggesting gastric retention. The diagnosis was suspected after a barium meal in two patients and with a CT scan on the other two. The endoscopical extraction or fragmentation of stones was attempted in three patients but was successful only in one. Three patients were operated and a stone impacted in the first portion of the duodenum was identified, along with a cholecystoduodenal fistula. A duodenostomy and stone extraction was performed. One patient was subjected to a cholecystectomy fistula repair and gastrojejunoanastomosis. No patient died and all were discharged within 8 to 12 days after surgery.Conclusions:
Bouveret syndrome is an uncommon complication of cholelithiasis. Endoscopy can be diagnostic and therapeutic. Surgery is the other therapeutic option.Key words
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Cholelithiasis
/
Intestinal Fistula
/
Duodenal Obstruction
نوع الدراسة:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
اللغة:
Es
مجلة:
Rev. méd. Chile
موضوع المجلة:
MEDICINA
السنة:
2008
نوع:
Article