该综合征为Bouveret于1896年首先描述,是一种少见的胆石导致幽门梗阻的临床疾病。作者报道1例由螺旋CT确诊并经手术病理证实的病例。男性,54岁,因中腹部剧烈绞痛入院,呕吐出咖啡色物后疼痛缓解。查体见轻度黄疽,腹软,轻触痛。实验室WBC 22000,淀粉酶55,电解质正常。胸部X线未见膈下游离气体,腹部站立及仰卧位片示右上腹隐约可见一3cm钙化块。腹部超声显示胆石伴有胆囊水肿,提示急性胆囊炎。食管、胃、十二指肠镜检示胃窦变形。幽门前区2个小溃疡,未能进入十二指肠。腹部及骨盆螺旋CT扫描示胃窦和十二指肠区被一9cm×8cm炎性包块占据,胆囊窝区见4个边 This syndrome, first described by Bouveret in 1896, is a rare clinical condition in which gallstone causes pyloric obstruction. The authors reported 1 case confirmed by spiral CT and confirmed by surgical pathology. Males, 54, were admitted to hospital with severe cramps in the mid-abdomen and were relieved of pain after vomiting a brown color. Physical examination found mild jaundice, abdominal soft, touch the pain. Laboratory WBC 22000, amylase 55, electrolyte normal. Chest X-ray showed no gas under the diaphragm, the abdomen and supine position showed a vaguely visible on the right upper abdomen a 3cm calcified block. Abdominal ultrasound showed gallstone accompanied by gallbladder edema, suggesting acute cholecystitis. Esophagus, stomach, duodenoscopy showed deformation of the antrum. Pyloric area 2 small ulcers, failed to enter the duodenum. Abdominal and pelvic spiral CT scan showed the antrum and duodenum area was a 9cm × 8cm inflammatory mass occupied, see the four sides of the gallbladder fossa