Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
2283 11 |
Ultima descărcare din IBN: 2023-09-22 16:56 |
SM ISO690:2012 ŞCERBINA, Romeo, GHIDIRIM, Gheorghe, VLAD, Ion, CRĂCIUN, Ion, CONSTANTINICA, O., ONUFREI, Ion, LESCOV, Vitalie, CUPCEA, Marianna, MURAVCA, Alexei. Bouveret’s syndrome. In: Curierul Medical, 2013, nr. 4(56), pp. 75-78. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 4(56) / 2013 / ISSN 1875-0666 | ||||||
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Pag. 75-78 | ||||||
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According to the literature Bouveret’s syndrome is a rare disease with an unclear clinical picture and difficulties in diagnosis. The known diagnostic methods include X-ray examination, ultrasonography, computerized tomography, the endoscopic examination of the gastrointestinal tract. Researchers indicate that the most successful diagnosis can be made when combining ultrasound and contrast radiography. There isn’t a clear opinion about Bouveret’s syndrome surgical treatment. Preference is given to the simple methods - enterotomy with the extraction of the biliary concrement leaving the elimination of the fistula and cholecystectomy for the second phase of treatment. In this case there appear a risk of the recurrence of biliary obstruction and the occurrence of cholangitis. A clinic case of a 62-year-old woman, who had difficulties in the diagnosis of biliary ileus has been described. The clinical picture has not corresponded to the X-ray examination results. The increase of obstruction syndrome and lack of the effect of conservative therapy have required a classical surgical treatment. In this case the solution of the problem has been reached by one stage treatment: cholecystectomy, enterotomy with gall stone extraction and the liquidation of gastric defect. The postoperative period has been complicated with a bilateral pleurisy, which has been succesfully cured by carrying out the pleural puncture and antibiotic therapy. |
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Cuvinte-cheie Bouveret’s syndrome, one stage treatment, Diagnosis |
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