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Bouverets Syndrome Case Report and Review of the Literature英文文献资料
HindawiPublishingCorporation
GastroenterologyResearchandPractice
Volume2009,ArticleID914951,4pages
doi:10.1155/2009/914951
CaseReport
Bouveret’sSyndrome:CaseReportandReviewoftheLiterature
IlianaDoycheva, AlpnaLimaye, AmitabhSuman, ChristopherE.Forsmark,
1 1 2 1
andShahnazSultan
3
1
2
DivisionofGastroenterology,Hepatology,andNutrition,CollegeofMedicine,UniversityofFlorida,Gainesville,FL32611,USA
DivisionofGastroenterology,Hepatology,andNutrition,MalcomRandallVeteransA?airsMedicalCenter,CollegeofMedicine,
UniversityofFlorida,Gainesville,FL32608,USA
3
DivisionofGastroenterology,Hepatology,andNutrition,MalcomRandallVeteransA?airsMedicalCenter,
RehabilitationOutcomesResearchCenter,CollegeofMedicine,UniversityofFlorida,Gainesville,FL32608,USA
CorrespondenceshouldbeaddressedtoShahnazSultan,shahnaz.sultan@medicine.u?.edu
Received29October2008;Accepted30January2009
RecommendedbyPeterMalfertheiner
Bouveret’s syndrome is de?ned as gastric outlet obstruction caused by duodenal impaction of a large gallstone which passes
intotheduodenalbulbthroughacholecystogastricorcholecystoduodenal?stula.Initialattemptsatendoscopicretrievalwithor
withoutmechanicalorextracorporeallithotripsyshouldbeperformedas?rst-linetreatment,thoughsuccessrateswithendoscopic
treatmentarevariable.WedescribeacaseofBouveret’sSyndromeinanelderlypatientthatwassuccessfullytreatedwithendoscopic
extractioncombinedwithmechanicallithotripsy,andreviewtheliteratureonthisuncommoncondition.
Copyright?2009IlianaDoychevaetal. This is an open access article distributed under the Creative Commons Attribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
1.Introduction
hadnotconsumedanyfoodfortheprevioustwodays.He
had a past medical history signi?cant for bladder cancer,
hypertension,peripheralvasculardisease,andgallstones.
Two months prior to this presentation, the patient
had been admitted wit
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