中国普通外科杂志2018，Vol.27Issue(8)：1030-1034,5.DOI:10.3978/j.issn.1005-6947.2018.08.012
胆囊十二指肠瘘伴胆石性肠梗阻1例分析并文献复习
Cholecystoduodenal fistula with gallstone ileus: an analysis of one case and literature review
摘要
Abstract
Objective: To investigate the preoperative evaluation, diagnosis and surgical approach of cholecystoduodenal fistula with gallstone ileus. Methods: The clinical data of a patient with cholecystoduodenal fistula and gallstone ileus were analyzed retrospectively, and the relevant literature was reviewed. Results: The patient was considered to have gallbladder stone and gallstone bowel obstruction by preoperative CT examinations. Intraoperative exploration found incarceration of a 40 cm stone at the ileocecal junction. Then, enterotomy and stone removal, duodenal fistula repair and cholecystectomy were successfully performed. The patient was discharged after postoperative recovery, and no related complications were observed up to the present time. Conclusion: Cholecystoduodenal fistula with gallstone ileus is a rare condition in clinical practice, early diagnosis and accurate assessment are critical, and appropriate surgical approach should be chosen according to the specific characteristics of individuals.关键词
胆囊结石病/胆瘘/肠瘘/十二指肠梗阻Key words
Cholecystolithiasis/Biliary Fistula/Intestinal Fistula/Duodenal Obstruction分类
医药卫生引用本文复制引用
陈海敏,方宏才,吕亚军,梁博,袁荣发,张军,胡双辉,方路..胆囊十二指肠瘘伴胆石性肠梗阻1例分析并文献复习[J].中国普通外科杂志,2018,27(8):1030-1034,5.基金项目
国家自然科学基金资助项目(81760438) （81760438）
江西省重点研发计划基金项目(20171BBG70063) （20171BBG70063）
江西省卫生厅科技计划基金资助项目(20131077). （20131077）
