患者女,57岁,因上腹部阵发性疼痛伴呕吐2个月,外院胃镜检查诊断"胃石",碎石、取石均未成功,来我院进一步诊治。胃镜检查见十二指肠球内被一巨大结石充满。诊断:Bouveret综合征(胆囊十二指肠瘘、十二指肠结石嵌顿)。
A57-year-oldwomanpresentedtotheemergencydepartmentwitha2-weekhistoryofnauseaandvomiting.
Duringthepreviousmonth,shehadhadintermittentepisodesofright-upper-quadrantabdominalpain.
Abdominalexaminationrevealedadistendedabdomenwithdecreasedbowelsoundsandmildepigastrictendernesswithoutperitonealsigns.
CToftheabdomenrevealedpneumobilia,gastricdistention,andagallstoneobstructingtheproximalduodenum.
Bouveret’ssyndromeisanun北京治疗白癜风最有效的医院复方木尼孜其颗粒作用是什么