Clinical Observation Syndrome Bouveret (Biliary Ileus)


Background Biliary ileus is a rare cause of acute intestinal obstruction and is 1-4% of all cases of small bowel obstruction.
Objective: to Analyze the current data of the world medical literature on the problem of biliary ileus, basic medical diagnostic techniques aimed at improving the provision of health care to patients with this pathology.
Materials and methods the authors review the literature and 1 the author nablyudeniya Bouveret syndrome.
Discussion Bouveret's Syndrome is a rare form of obstructive ileus due to obstruction of the biliary calculus in the presence of biliodigestive fistula output Department stomachs or 12-p K-CI. The main clinical sign is the presence of signs of intestinal obstruction. The final diagnosis is established during surgical intervention. Mortality after enterotomy with extraction of ureteral stones is about 12%, after an extended intervention - up to 30% Completed surgical treatment, enterotomy, anterolateral.
Conclusions despite the fact that the variation of the biliary ileus, Bouveret syndrome, a rare pathology, it is necessary to remember about this cause intestinal obstruction. Special attention should be given to elderly patients with clinic intestinal obstruction.

Northern State Medical University, 51 Troitskii Ave., Arkhangel'sk, 163000, Russian Federation

Author for correspondence.
associate Professor, CMN, the Department of hospital surgery of the Northern State Medical University

Karpogorsk Central Regional Hospital, 47 Lenina Str., Karpogorsk, 164600, Russian Federation


head of the surgical Department, the establishment of health care JSC 
"Karpogory RSD" the Arkhangelsk region, the Pinega district

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