Yıl: 2013 Cilt: 19 Sayı: 4 Sayfa Aralığı: 375 - 379 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography

Öz:
Kolesistoenterik fistüller, safra taşlarının %1den daha az bir sıklıkta görünen komplikasyonlarındandır. Bouveret sendromu, mide çıkımında safra taşı/taşları tarafından oluşturulan tıkanıklık sonucu gelişir. Bu taşlar sıklıkla kolesistoenterik veya nadiren de kolesistogastrik fistül aracı lığı ile mide çıkımını veya proksimal duedenumu tıkarlar.Bouveret sendromunun erken tanı ve tedavisi, morbidite ve mortalitenin azaltılması için gereklidir. Bu olgu sunumunda, kolesistoenterik fistüllü ve Bouveret sendromlu bir hasta sunuldu. Bildiğimiz kadarıyla, çokkesitli bilgisayarlı tomografi (ÇKBT) (64 dedektörlü) ve kontrastlı manyetik rezonans (MR) kolanjiyopankreatografi (MRKP) ile Bouveret sendromu tanısı hakkında çalışma literatürde bulunmamaktadır. Amacımız kolesistoenterik fistüllerin saptanması ve değerlendirilmesinde ÇKBT ve kontrastlı MRKP etkinliğini tartışmaktır. ÇKBT ve kontrastlı MRKP ile safra yollarını fizyolojik olarak inceleyebildik ve biliyoenterik fistülü net olarak gösterdik. Ayrıca kontrastlı MRKP ile fizyolojik olarak safra sistemini değerlendirdik.Sonuç olarak, bu tür olgularda ÇKBT, röntgen ve ultrasondan sonraki ilk tercih olmalıdır. Komplike veya safra tıka nıklığı şüphesi olan olgularda kontrastlı MRKP, tüm karın ve safra sistemi ile ilgili önemli morfolojik ve fizyolojik bilgileri verebilir.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

Bouveret sendromu: Çok kesitli bilgisayarlı tomografi ve kontrastlı manyetik rezonans kolanjiyografi bulguları

Öz:
Cholecystenteric fistula is one of the rarest complicationsof biliary lithiasis, with a frequency of less than 1%. Bouveret syndrome is a gastric outlet obstruction produced bygallstone(s) located in the distal stomach or proximal duodenum. The route of gallstone migration to the bowel is mostcommonly via a cholecystoduodenal fistula; however, fistulization of the stomach is a rarer variation. Early diagnosis of thissituation is crucial to reduce morbidity and mortality. In thisreport, we present a patient with cholecystogastric fistula andBouveret syndrome. To our knowledge, there is no publishedpaper in the literature related to the diagnosis of Bouveret syndrome with multidetector computed tomography (MDCT) (64detectors) and/or contrast-enhanced magnetic resonance cholangiopancreatography (CE-MRCP). Our aim was to discussthe efficacy of MDCT and CE-MRCP in the detection andevaluation of cholecystenteric fistulas. We showed the exactlocalization and relation of biliary stones and the fistula byMDCT and CE-MRCP. We also evaluated the biliary systemwith CE-MRCP physiologically. In conclusion, when biliarylithiasis and ileus are detected in plain radiography, the firstline diagnostic tool should be MDCT. In complicated casesor when biliary obstruction is suspected, CE-MRCP can giveimportant morphological and physiological information regarding the whole abdomen and biliary system.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ALGIN O, Ozmen E, METİN M, Ersoy P, KARAOĞLANOĞLU M (2013). Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. , 375 - 379.
Chicago ALGIN Oktay,Ozmen Evrim,METİN Melike Ruşen,Ersoy Pamir Eren,KARAOĞLANOĞLU Mustafa Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. (2013): 375 - 379.
MLA ALGIN Oktay,Ozmen Evrim,METİN Melike Ruşen,Ersoy Pamir Eren,KARAOĞLANOĞLU Mustafa Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. , 2013, ss.375 - 379.
AMA ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. . 2013; 375 - 379.
Vancouver ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. . 2013; 375 - 379.
IEEE ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M "Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography." , ss.375 - 379, 2013.
ISNAD ALGIN, Oktay vd. "Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography". (2013), 375-379.
APA ALGIN O, Ozmen E, METİN M, Ersoy P, KARAOĞLANOĞLU M (2013). Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. Ulusal Travma ve Acil Cerrahi Dergisi, 19(4), 375 - 379.
Chicago ALGIN Oktay,Ozmen Evrim,METİN Melike Ruşen,Ersoy Pamir Eren,KARAOĞLANOĞLU Mustafa Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. Ulusal Travma ve Acil Cerrahi Dergisi 19, no.4 (2013): 375 - 379.
MLA ALGIN Oktay,Ozmen Evrim,METİN Melike Ruşen,Ersoy Pamir Eren,KARAOĞLANOĞLU Mustafa Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. Ulusal Travma ve Acil Cerrahi Dergisi, vol.19, no.4, 2013, ss.375 - 379.
AMA ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(4): 375 - 379.
Vancouver ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(4): 375 - 379.
IEEE ALGIN O,Ozmen E,METİN M,Ersoy P,KARAOĞLANOĞLU M "Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography." Ulusal Travma ve Acil Cerrahi Dergisi, 19, ss.375 - 379, 2013.
ISNAD ALGIN, Oktay vd. "Bouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography". Ulusal Travma ve Acil Cerrahi Dergisi 19/4 (2013), 375-379.