Bouveret's syndrome complicated by distal gallstone ileus after laser lithotropsy using Holmium: YAG laser

被引：40
作者：
Alsolaiman M.M. [1 ]
Reitz C. [1 ]
Nawras A.T. [1 ]
Rodgers J.B. [1 ]
Maliakkal B.J. [1 ]
机构：
[1] Division of Gastroenterology, Department of Medicine, Albany Medical College, Albany, NY
来源：
BMC Gastroenterology | / 2卷 / 1期
关键词：
Obstructive Sleep Apnea; Extracorporal Shock Wave Lithotripsy; Gastric Outlet Obstruction; Duodenal Obstruction; Laser Lithotripsy;
D O I：
10.1186/1471-230X-2-15
中图分类号：
学科分类号：
摘要：
Background: Bouveret's syndrome is an unusual presentation of duodenal obstruction caused by the passage of a large gallstone through a cholecystoduodenal fistula. Endoscopic therapy has been used as first-line treatment, especially in patients with high surgical risk. Case presentation: We report a 67-year-old woman who underwent an endoscopic attempt to fragment and retrieve a duodenal stone using a Holmium: Yttrium-Aluminum-Garnet Laser (Ho:YAG) which resulted in small bowel obstruction. The patient successfully underwent enterolithotomy without cholecystectomy or closure of the fistula. Conclusion: We conclude that, distal gallstone obstruction, due to migration of partially fragmented stones, can occur as a possible complication of laser lithotripsy treatment of Bouveret's syndrome and might require urgent enterolithotomy. © 2002 Alsolaiman et al; licensee BioMed Central Ltd.
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