经胃前壁成功治疗十二指肠巨大胆囊结石致Bouveret综合征1例报告

陈旭; 李伦旭; 祁冰; 张庆凯; 张桂信; 李爽; 尚东

doi:10.3969/j.issn.1001-5256.2022.03.028

经胃前壁成功治疗十二指肠巨大胆囊结石致Bouveret综合征1例报告

DOI: 10.3969/j.issn.1001-5256.2022.03.028

陈旭¹,
李伦旭¹,
祁冰^{1, 2},
张庆凯^{1, 2},
张桂信^{1, 2},
李爽^{1, 2, , ,},
尚东^{1, 2, , ,}

1.
大连医科大学附属第一医院中西医结合普外科，辽宁大连 116011
2.
辽宁省胆胰疾病中西医结合诊疗中心，辽宁大连 116011

基金项目:

国家自然科学基金 (81873156);

国家重点研发计划 (2018YFE0195200);

2019年大连市高层次人才创新支持计划领军人才团队

伦理学声明：本例报告已获得患者知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：陈旭负责资料分析, 撰写论文; 李伦旭、祁冰、张庆凯、张桂信参与收集数据, 修改论文; 李爽、尚东负责拟定写作思路, 指导撰写文章并最后定稿。

详细信息

通信作者:
李爽，lis10dmu@163.com

尚东，shangdong@dmu.edu.cn

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- 被引次数: 0
出版历程
- 收稿日期: 2021-07-16
- 录用日期: 2021-08-16
- 出版日期: 2022-03-20

Successful treatment of Bouveret ' s syndrome due to giant duodenal gallbladder stones through the anterior wall of the stomach: A case report

Xu CHEN¹,
Lunxu LI¹,
Bing QI^{1, 2},
Qingkai ZHANG^{1, 2},
Guixin ZHANG^{1, 2},
Shuang LI^{1, 2
, ,
,},
Dong SHANG^{1, 2
, ,
,}

1.
Department of General Surgery and Integrated Traditional Chinese and Western Medicine Therapy, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China
2.
Liaoning Provincial Center for Integrated Traditional Chinese and Western Medicine Therapy for Biliary and Pancreatic Diseases, Dalian, Liaoning 116011, China

Research funding:

The National Natural Science Foundation of China (81873156);

National Key Research and Development Program of China (2018YFE0195200);

Type A Project of Leading Talent’s Innovative Research of Dalian

More Information

Corresponding author: LI Shuang, lis10dmu@163.com(ORCID: 0000-0002-3030-3075); SHANG Dong, shangdong@dmu.edu.cn(ORCID: 0000-0002-2768-5244)

摘要

- Bouveret综合征 /
- 胆囊十二指肠瘘 /
- 胆囊结石病
- ouveret's Syndrome /
- Gallbladder Duodenal Fistula /
- Cholecystolithiasis

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图 1 术前腹部CT检查结果

注：入院后腹部CT可见胆囊内巨大结石, 侵犯十二指肠壁, 可疑进入十二指肠肠腔, 结石最大径为3.71 cm×2.73 cm。

下载: 全尺寸图片幻灯片

图 2 内镜及数字减影血管造影情况

注：a、b, 十二指肠镜下可见巨大墨绿色结石阻塞十二指肠肠腔, 黄管为三腔喂养管; c, 十二指肠镜下进行碎石, 碎石仪仅可碎小部分表面结石; d, 十二指肠镜下造影示结石巨大, 完全占据十二指肠球部肠腔及球降交界部。

下载: 全尺寸图片幻灯片

图 3 术后腹部CT复查结果

注：术后患者复查CT, 未见异常, 恢复顺利

下载: 全尺寸图片幻灯片

参考文献(10)

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