|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Bouveret's syndrome complicated by a distal gallstone ileus显示文摘AIM: Gastric outlet obstruction caused by duodenal impaction of a large gallstone migrated through a cholecystoduodenal fistula has been referred as Bouveret's syndrome. Endoscopic lithotomy is the first-step treatment,however, surgery is indicated in case of failure or complication during this procedure.METHODS: We report herein an 84-year-old woman presenting with features of gastric outlet obstruction due to impacted gallstone. She underwent an endoscopic retrieval which was unsuccessful and was further complicated by distal gallstone ileus. Physical examination was irrelevant.RESULTS: Endoscopy revealed multiple erosions around the cardia, a large stone in the second part of the duodenum causing complete obstruction, and wide ulceration in the duodenal wall where the stone was impacted. Several attempts of endoscopic extraction by using foreign body forceps failed and surgical intervention was mandatory. Preoperative ultrasound evidenced pneumobilia whilst computerized tomography showed a large stone, 5 cm×4 cm×3 cm, loggingat the proximal jejunum and another one, 2.5 cm×2 cm×2 cm,in the duodenal bulb causing a closed-loop syndrome. She underwent laparotomy and the jejunal stone was removed by enterotomy. Another stone reported as located in the duodenum preoperatively was found to be present in the gallbladder by intraoperative ultrasound. Therefore,cholecystoduodenal fistula was broken down, the stone was retrieved and cholecystectomy with duodenal repair was carried out. She was discharged after an uneventful postoperative course.CONCLUSION: As the simplest and the least morbid procedure, endoscopic stone retrieval should be attempted in the treatment of patients with Bouveret's syndrome.When it fails, surgical lithotomy consisting of simple enterotomy may solve the problem. Although cholecystectomy and cholecystoduodenal fistula breakdown is unnecessary in every case, conditions may urge the surgeon to perform such operations even though they carry high morbidity and mortality. | Rasim Gencosmanoglu Resit Inceoglu Caglar Baysal Sertac Akansel Nurdan Tozun | 2003 | World Journal of Gastroenterology2003，9，12： | 9 |
| 2 | MRI patterns in orbital malignant lymphoma and atypical lymphocytic infiltrates显示文摘 | Akansel G Hendrix L Erickson BA | 2005 | Eur J Radiol2005，53，2： | 1 |
| 3 | Effect of Intensive Care Unit Noise on Patients: A Study on Coronary Artery bypass Graft Surgery Patients显示文摘 | Akansel N Kaymakci S | 2008 | J Clin Nuts2008，17，12： | 1 |
| 4 | Dynamie eontrast enhanced MRI in the differential diagnosis of adrenal adenomas and malignant adrenal masses显示文摘 | Inan N Arslan A Akansel G | 2008 | Eur J Radiol2008，65，1： | 1 |
| 5 | MRI patterns in orbital malignant lymphoma and atypical lymphocytic infiltrates显示文摘 | Akansel G Hendrix L Erickson B A | | 0，，02： | 1 |
| 6 | Traumatic dislocation of the fist metatarsophalangeal joint with entrapment of the flexor hallucis Iongus tendon显示文摘 | Tosun B Akansel G Sarlak AY | 2006 | J Foot Ankle Surg2006，47，4： | 1 |
| 7 | Primary epiploic ap- pendagitis: the role of computed tomography in diagnosis显示文摘 | Gurses B Ekci B Akansel S | 2007 | AustralasRadiol2007，51，： | 1 |
| 8 | Diffusion-weighted imaging in the differential diagnosis of cystic lesions of the pancreas显示文摘 | Inan N Arslan A Akansel | | 0，，： | 1 |
| 9 | Colitis cystica profunda: MRI appearance显示文摘 | Inan N Arslan AS Akansel G | 2007 | Abdom Imaging2007，32，2： | 1 |
| 10 | MRI patterns in orbital malignant lymphoma and atypical lymphocytic infiltrates显示文摘 | Akansel G Hendrix L Erickson B A | 2005 | Eur J Radiol2005，53，2： | 1 |
| 11 | Magnetic resonance imaging find- ings in a patient with bilateral limbic encephalitis显示文摘 | Iseri P Akansel G Budak F | 2005 | Arch Neu- 1'ol2005，62，： | 1 |
| 12 | MRI paterns in orbital malignant lymphoma and atypical lymphocytic infiltrates显示文摘 | Akansel G Hendrix L Beth A | 2005 | Eur J Radiol2005，53，2： | 1 |
| 13 | Diffusion-weighted imaging in the differential diagnosis of simple and hydatid cysts of the liver显示文摘 | Lnan N Arslan A Akansel G | 2007 | AJR2007，189，5： | 1 |
| 14 | Fatal giant pediatric intracranial cavernous angioma显示文摘 | Corapciog|u F Akansel G Gonu|lu E | 2006 | Turk J Pediatr2006，48，： | 1 |
| 15 | Colitis cystica profunda:MRI appearance显示文摘 | Inan N Arslan AS Akansel G | 2007 | Abdom Imaging2007，32，2： | 1 |
| 16 | Optimal control of inventory accumulation in selective assem- bly processes 显示文摘 | AKANSEL M EMEL E HACIOGLU V | 2011 | The International Journal of Ad- vanced Manufacturing Technology2011，56，58： | 1 |
| 17 | Intracranial inflamma- tory pseudotumor: case report and review of the literature 显示文摘 | Yavuzer D Dalbayrak S Akansel G | 2010 | Clin Neuropathol2010，29，： | 1 |
| 18 | Effects of intensive care unit noise on patients:a study on coronary artery bypass graft surgery patients显示文摘 | Akansel N Kaymaki S | 2008 | J Clin Nurs2008，17，12： | 1 |
| 19 | Diffusion-weighted imaging in the differential diagnosis of simple and hydatid cysts of the liver显示文摘 | Inan N Arslan A Akansel G | 2007 | AJR2007，189，： | 1 |
| 20 | Diffusion into human intervertebral disks studied with MR and gadoteridol 显示文摘 | Akansel G Haughton VM Papke RA | 1997 | AJNR Am J Neuroradiol1997，18，3： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员