72 KB22 KB199420251996Košorok, Pavleštevilka:3letnik:35str. 421-428ISSN:0025-8121COBISSID:7373273URN:URN:NBN:SI:doc-ZSQVSEFAslMedicinski razglediMedicinski razgledičrevesjekirurgijaprebavilaBouveretov sindrom - visoki biliarni ileus|The article presents a female patient that was operated in acute state for gallstone ileus without a prior anamnesis having been taken. Due to multiple stones, the ileus recurred with unclear starting symptoms lasting for several days, which, in retrospect, were defined as Bouveret's syndrome. Eight days after the operation clear symptoms of gallstone ileus developed and it was operated again. A third calculus passed spontaneously, also with temporary symptoms of Bouveret's syndrome. The hypothesis put forward is that Bouveret'ssyndrome is rather frequent in clinical practice though it is diagnosed more rarely because most patients seek help in the state of developed gallstone ileus when the symptoms of Bouveret's syndrome have already passed. If, in view of modern diagnostic methods, Bouveret's syndrome were diagnosed in time, conservative treatment would be possible as well, especially in high-risk patientsV članku predstavljamo bolnico operirano v akutnem stanju zaradi biliarnega ileusa, brez predhodne anamneze žolčnih kamnov. Ker je imela več žolčnih kamnov, je prišlo do novega ileusa z nejasno, nekaj dni trajajočo začetno simptomatiko, ki smo jo retrogradno opredelili kot Bouveretov sindrom. Osem dni po operaciji je prišlo do razvite slike biliarnega ileusa, ki je bil operiran. Tretji kamen se je prav tako s prehodno simptomatiko Bouveretovega sindroma kasneje izločil sam. Hipoteza, ki jo izpostavijamo, je ta, da je v klinični praksi Bouveretov sindrom pogostejši, redkeje pa se diagnosticira, ker večina bolnikov poišče pomoč v stanju razvitega biliarnega ileusa, ko je simptomatika Bouveretovega sindroma že prešla. Z novejšimi diagnostičnimi možnostmi bi bila mogoča pogostejša in pravočasna diagnoza Bouveretovega sindroma. Tako bi bilo možno tudi konzervativno zdravljenje, posebej še pri bolnikih s povečanim tveganjemTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi