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Inicio Radiología Diagnóstico por imagen del síndrome de Bouveret. A propósito de dos casos*
Journal Information
Vol. 43. Issue 4.
Pages 207-210 (January 2001)
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Vol. 43. Issue 4.
Pages 207-210 (January 2001)
Diagnóstico por imagen del síndrome de Bouveret. A propósito de dos casos*
Diagnostic imaging in Bouveret’s syndrome. A report of two cases
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Iratxe Aguirre, J. Javier Echevarría, Luisa Vidales, José M.a Abaitua
Servicio de Radiodiagnóstico. Hospital de Galdakao. Vizcaya.
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Resumen

El síndrome de Bouveret (SB) es una entidad poco frecuente que consiste en la obstrucción intestinal localizada en píloroduodeno, secundaria al paso de un cálculo biliar a través de una fístula colecistoentérica.

Se presenta con mas frecuencia en mujeres de edad avanzada con historia previa de litiasis biliar. El cuadro clínico es inespecífico, de ahí la importancia de las pruebas radiológicas con las que puede alcanzarse un diagnóstico precoz que mejorará el pronóstico de estos pacientes.

Presentamos dos pacientes con antecedentes de colelitiasis, en los cuales se consiguió un diagnóstico preoperatorio de SB mediante diferentes técnicas de imagen.

Palabras clave:
Síndrome de Bouveret
Íleo biliar
Abstract

Bouveret’s syndrome is an uncommon disorder that consists of localized obstruction of the pyloroduodenal region caused by the passage of a gallstone through a cholecystoenteric fistula.

It is most common in elderly women with a previous history of cholelithiasis. As the clinical signs are nonspecific, radiological studies are of great importance in the attempt to reach an early diagnosis, thus improving the prognosis.

We present two patients with a history of cholelithiasis in whom Bouveret’s syndrome was diagnosed preoperatively by different imaging techniques.

Key words:
Bouveret’s syndrome
Gallstone ileus

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