{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:13:11Z","timestamp":1783660391898,"version":"3.55.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bouveret syndrome is an uncommon form of gallstone ileus that results from a cholecystoenteric fistula. Impaction of gallstone in the proximal duodenum blocks the gastric outlet. We report the first case from a resource-limited setting. A 75-year-old man with calculous cholecystitis arrived with gastric obstruction, melena, coffee-ground emesis, and weight loss. Lab data showed leukocytosis and mild anemia. Computed tomography scan showed gastric distension, pneumobilia, and a gallstone in the duodenum: the characteristic findings in Rigler\u2019s triad. Due to its large size and calcification, endoscopic extraction was unsuccessful, and this necessitated surgical enterolithotomy. Despite the technical success of the surgery, the patient passed away two days later due to heart arrhythmia. This case report highlights the necessity of prompt surgical intervention when modern endoscopic alternatives are not accessible.<\/jats:p>","DOI":"10.1093\/jscr\/rjag559","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:17:45Z","timestamp":1783657065000},"source":"Crossref","is-referenced-by-count":0,"title":["Bouveret syndrome: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5027-2096","authenticated-orcid":false,"given":"Marouf","family":"Alhalabi","sequence":"first","affiliation":[{"name":"Syrian Board in Gastroenterology, Gastroenterology , Damascus Hospital, Damascus 35044 ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6368-2837","authenticated-orcid":false,"given":"Mizar","family":"Alsebai","sequence":"additional","affiliation":[{"name":"Damascus Hospital , Damascus 35044 ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Alsamman","sequence":"additional","affiliation":[{"name":"Syrian Board in Surgery, Surgery Department Damascus Hospital , Damascus 35044 ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Zaher","family":"Alhalabi","sequence":"additional","affiliation":[{"name":"Syrian Board in Radiology, Damascus Hospital , Damascus 35044 ,","place":["Syria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"2026071000173550500_ref1","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":"2026071000173550500_ref2","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1097\/MCG.0000000000001221","article-title":"Bouveret syndrome: a systematic review of endoscopic therapy and a novel predictive tool to aid in management","volume":"54","author":"Ong","year":"2020","journal-title":"J Clin Gastroenterol"},{"key":"2026071000173550500_ref3","doi-asserted-by":"publisher","first-page":"E690","DOI":"10.1503\/cmaj.121432","article-title":"Rigler triad in gallstone ileus","volume":"185","author":"Roothans","year":"2013","journal-title":"CMAJ"},{"key":"2026071000173550500_ref4","year":"2026","journal-title":"StatPearls [Internet]"},{"key":"2026071000173550500_ref5","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1159\/000510162","article-title":"Endoscopic diagnosis of Bouveret syndrome","volume":"14","author":"Hesse","year":"2021","journal-title":"Case Rep Gastroenterol"},{"key":"2026071000173550500_ref6","doi-asserted-by":"publisher","first-page":"e42059","DOI":"10.7759\/cureus.42059","article-title":"Gallstone ileus: clinical presentation and radiological diagnosis","volume":"15","author":"Gaikwad","journal-title":"Cureus"},{"key":"2026071000173550500_ref7","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1155\/2015\/215643","article-title":"Bouveret syndrome: when there are no options","volume":"29","author":"Baharith","year":"2015","journal-title":"Can J Gastroenterol Hepatol"},{"key":"2026071000173550500_ref8","volume-title":"StatPearls"},{"key":"2026071000173550500_ref9","doi-asserted-by":"publisher","volume":"6","journal-title":"BMJ Open Gastroenterology","DOI":"10.1136\/bmjgast-2019-000344"},{"key":"2026071000173550500_ref10","doi-asserted-by":"publisher","first-page":"20170032","DOI":"10.1259\/bjrcr.20170032","article-title":"Bouveret\u2019s syndrome\u2014a rare form of gallstone ileus causing death: appearance on post-mortem CT and MRI","volume":"3","author":"Bruni","year":"2017","journal-title":"BJR Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag559\/68741680\/rjag559.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag559\/68741680\/rjag559.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:17:45Z","timestamp":1783657065000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag559\/8729449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag559","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"rjag559"}}