Bouveret's syndrome with a concomitant incidental T1 gallbladder cancer

被引：4

作者：

Shinoda M. ^{[1
]}

Aiura K. ^{[1
]}

Yamagishi Y. ^{[2
]}

Masugi Y. ^{[3
]}

Takano K. ^{[1
]}

Maruyama S. ^{[1
]}

Irino T. ^{[1
]}

Takabayashi K. ^{[2
]}

Hoshino Y. ^{[1
]}

Nishiya S. ^{[1
]}

Hibi T. ^{[1
]}

Kawachi S. ^{[1
]}

Tanabe M. ^{[1
]}

Ueda M. ^{[1
]}

Sakamoto M. ^{[3
]}

Hibi T. ^{[1
]}

Kitagawa Y. ^{[1
]}

机构：

[1] Department of Surgery, School of Medicine, Keio University, Shinjuku, Tokyo 160-8582

[2] Department of Internal Medicine, School of Medicine, Keio University, Shinjuku, Tokyo 160-8582

[3] Department of Pathology, School of Medicine, Keio University, Shinjuku, Tokyo 160-8582

来源：

Clinical Journal of Gastroenterology | 2010年 / 3卷 / 5期

关键词：

Bouveret's syndrome; Cholecystoduodenal fistula; Gallbladder cancer; Gallstone; Gastric outlet obstruction;

D O I：

10.1007/s12328-010-0170-0

中图分类号：

学科分类号：

摘要：

Bouveret's syndrome, which is a gastric outlet obstruction caused by a gallstone in the duodenum, is a rare complication of gallstone disease. We report a case of Bouveret's syndrome in an 81-year-old woman who also exhibited incidental gallbladder cancer. She was admitted to our hospital complaining of upper abdominal pain and vomiting. A computed tomography examination showed a cholecystoduodenal fistula, a large impacted stone at the gastric outlet, and a dilated stomach. She was diagnosed as having Bouveret's syndrome. The patient underwent an upper gastrointestinal endoscopy and a mechanical lithotripsy was successfully performed for the stone. She then underwent a cholecystectomy with primary closure of the duodenal fistula. An intra-operative histopathology examination revealed severe cholecystitis with an adenocarcinoma in part of the gallbladder. Gallbladder bed resection and regional lymph node dissection were also performed. To the best of our knowledge, this is the first published report of a case in which Bouveret's syndrome and gallbladder cancer co-existed. © 2010 Springer.

引用

页码：248 / 253

页数：5

共 16 条

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