误诊为胃石的结石性肠梗阻一例

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







































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