. 2002; 8(3): 179-182 | |||
BOUVERET'S SYNDROME: GASTRIC OUTLET OBSTRUCTION BY A GALLSTONERifat Matur1, Tayfun Yücel1, Sibel Ö. Gürdal1, Ayhan Akpınar1Taksim Eğitim ve Araştırma Hastanesi I. Genel Cerrahi Kliniği, İstanbul, TurkeyThis rare syndrome first described by Bouveret in 1896, occurs when a stone migrates through a cholecysto or choledochoduodenal jistula lodging in the duodenal bulb and resulting in obstruction. Up to date, less than 100 cases reported in the literature. This rare type of gallstone ileus can be diagnosed and treated endoscopically, although there are a few previous reports of successful endoscopic, removal. However, surgical removal is safe and effective but the most controversial aspect is the proper treatment, simple enterotomy and removal ofthe gallstone alone or enterolithotomy in association with cholecystectomy and dejinitive correction ofthe biliodigestive fistula. This paper presents a case report of a 65 year old man with gastric outlet obstruction caused by a large gallstone. The diagnose and treatment of this case who was admitted in 1.General Surgical Department of Taksim Teaching and Research Hospital was researched under the reference of recent literature. Keywords: Regulation ofprivate ambulance, emergency head maintanence, ambulance servicesBOUVERET SENDROMU: SAFRA TAŞINA BAĞLI MİDE ÇIKIŞ OBSTRÜKSİYONURifat Matur1, Tayfun Yücel1, Sibel Ö. Gürdal1, Ayhan Akpınar1Taksim Eğitim ve Araştırma Hastanesi I. Genel Cerrahi Kliniği, İstanbul, TurkeyRifat Matur, Tayfun Yücel, Sibel Ö. Gürdal, Ayhan Akpınar. BOUVERET'S SYNDROME: GASTRIC OUTLET OBSTRUCTION BY A GALLSTONE. . 2002; 8(3): 179-182 |
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