{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T17:03:05Z","timestamp":1774112585403,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:00:00Z","timestamp":1774051200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bouveret\u2019s syndrome represents a rare variant of gallstone ileus characterized by the migration of a gallstone through a bilioenteric fistula into the duodenum, resulting in pyloric obstruction. We present the case of a 79-year-old woman who presented to a regional hospital with symptoms of vomiting and constipation. Diagnostic imaging revealed duodenal obstruction with multiple concretions and pneumobilia. An attempted endoscopic retrieval of the obstructing gallstones was complicated by an iatrogenic distal esophageal perforation, necessitating transfer to our tertiary care center for further management. Subsequent imaging and endoscopic assessment confirmed the findings and the patient underwent emergency surgical intervention comprising discontinuous resection of the perforated esophageal segment and excision of the cholecystoduodenal fistula. After clinical stabilization, esophageal reconstruction was performed 3 months later via retrosternal colon interposition. The postoperative course was uneventful. This case highlights the necessity of early interdisciplinary management and decision-making in gallstone-induced bowel obstructions and esophageal perforation.<\/jats:p>","DOI":"10.1093\/jscr\/rjag173","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T16:34:04Z","timestamp":1774110844000},"source":"Crossref","is-referenced-by-count":0,"title":["Bouveret\u2019s syndrome complicated by iatrogenic esophageal perforation after endoscopic gallstone retrieval: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Joelle Camilla","family":"Korte","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilly","family":"Klingelh\u00f6fer","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Nottberg","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Bardenhagen","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baris","family":"Mercanoglu","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Schraps","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7012-1196","authenticated-orcid":false,"given":"Thilo","family":"Hackert","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel","family":"Melling","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf , Martinistra\u00dfe 52, 20251 Hamburg ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,21]]},"reference":[{"key":"2026032112335675000_ref1","doi-asserted-by":"publisher","first-page":"e2299","DOI":"10.7759\/cureus.2299","article-title":"Bouveret\u2019s syndrome: literature review","volume":"10","author":"Haddad","year":"2018","journal-title":"Cureus"},{"key":"2026032112335675000_ref2","doi-asserted-by":"publisher","DOI":"10.4172\/2161-069X.1000314","article-title":"An unusual presentation of cholecystoduodenal fistula: massive upper gastrointestinal bleeding","volume":"05","author":"Feferman","year":"2014","journal-title":"J Gastrointest Dig Syst"},{"key":"2026032112335675000_ref3","doi-asserted-by":"publisher","first-page":"e64754","DOI":"10.7759\/cureus.64754","article-title":"Bouveret syndrome: etiology, clinical presentation, differential diagnosis, complications, and treatment options","volume":"16","author":"Thatipalli","year":"2024","journal-title":"Cureus"},{"key":"2026032112335675000_ref4","doi-asserted-by":"publisher","first-page":"2139","DOI":"10.1111\/j.1572-0241.2006.00645.x","article-title":"Characterization of Bouveret\u2019s syndrome: a comprehensive review of 128 cases","volume":"101","author":"Cappell","year":"2006","journal-title":"Am J Gastroenterol"},{"key":"2026032112335675000_ref5","doi-asserted-by":"publisher","first-page":"e4414","DOI":"10.7759\/cureus.4414","article-title":"Bouveret\u2019s syndrome","volume":"11","author":"Philipose","year":"2019","journal-title":"Cureus"},{"key":"2026032112335675000_ref6","first-page":"627","article-title":"Successful removal of massive intragastric gallstones by endoscopic electrohydraulic lithotripsy and mechanical lithotripsy","volume":"86","author":"Moriai","year":"1991","journal-title":"Am J Gastroenterol"},{"key":"2026032112335675000_ref7","first-page":"75","article-title":"Complicated endoscopic management of Bouveret\u2019s syndrome. 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