{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T21:58:38Z","timestamp":1771883918413,"version":"3.50.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Bouveret's syndrome is a rare variant of gallstone ileus and describes gastric outlet obstruction secondary to an impacted stone in the duodenum. Its presentation is vague and clinical diagnosis is often difficult resulting in a delay in diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We report a patient who presented initially with non-specific symptoms and subsequently with features in keeping with acute pancreatitis, but eventually was found to have Bouveret's syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Different treatment strategies are discussed. Although endoscopic treatment combined with many newer modalities like lithotripsy have been tried, surgery remains the definitive management in the vast majority of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Bouveret's syndrome is a rare condition, can also present as pancreatitis and often difficult to diagnose initially, but with appropriate treatment has a good outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.01.017","type":"journal-article","created":{"date-parts":[[2013,2,8]],"date-time":"2013-02-08T07:50:32Z","timestamp":1360309832000},"page":"528-530","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["\u201cBouveret's syndrome\u201d presenting with acute pancreatitis a very rare and challenging variant of gallstone ileus"],"prefix":"10.1097","volume":"4","author":[{"given":"Arif","family":"Zafar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Ingham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jainudeen K.A.","family":"Jameel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-27-20260223","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1002\/bjs.1800770707","article-title":"Gallstone ileus","volume":"77","author":"Clavien","year":"1990","journal-title":"British Journal of Surgery"},{"key":"R2-27-20260223","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1007\/s00268-007-9011-9","article-title":"Gallstone ileus: diagnosis and management","volume":"31","author":"Ayantunde","year":"2007","journal-title":"World Journal of Surgery"},{"key":"R3-27-20260223","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1148\/rg.244035222","article-title":"Bouveret syndrome","volume":"24","author":"Brennan","year":"2004","journal-title":"Radiographics"},{"key":"R4-27-20260223","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1111\/j.1572-0241.2006.00645.x","article-title":"Characterization of Bouveret's syndrome: a comprehensive review of 128 cases","volume":"101","author":"Cappell","year":"2006","journal-title":"American Journal of Gastroenterology"},{"key":"R5-27-20260223","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1007\/s003300000444","article-title":"Bouveret's syndrome: CT findings","volume":"10","author":"Tuney","year":"2000","journal-title":"European Radiology"},{"key":"R6-27-20260223","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/PL00011935","article-title":"Radiological findings in Bouveret's 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lithotripsy","volume":"29","author":"Dumonceau","year":"1997","journal-title":"Endoscopy"},{"key":"R13-27-20260223","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.3748\/wjg.v16.i12.1533","article-title":"Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy","volume":"16","author":"Zielinski","year":"2010","journal-title":"World Journal of Gastroenterology"},{"key":"R14-27-20260223","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.3748\/wjg.v9.i12.2873","article-title":"Bouveret's syndrome complicated by a distal gallstone ileus","volume":"9","author":"Gencosmanoglu","year":"2003","journal-title":"World Journal of Gastroenterology"},{"key":"R15-27-20260223","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s00268-002-6569-0","article-title":"Comparison of surgical treatments of gallstone ileus: preliminary report","volume":"27","author":"Doko","year":"2003","journal-title":"World Journal of 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