{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:41:08Z","timestamp":1786473668401,"version":"build-2736575974"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bouveret syndrome is a gastric outlet obstruction caused by the impaction of a gallstone within the gastrointestinal tract via a bilioenteric fistula. Its low incidence, non-specific clinical presentation, and lack of therapeutic consensus pose a diagnostic challenge, carrying a high mortality rate of up to 30%. We present the case of a 48-year-old female presenting with right upper quadrant abdominal pain, nausea, and vomiting. Although initial imaging studies suggested cholecystitis, computed tomography findings confirmed the presence of ectopic gallstones in the duodenum. Exploratory laparotomy, gallstone extraction, cholecystectomy, and fistula repair were performed simultaneously in a single surgical stage, resulting in an uneventful recovery. The management of this syndrome must be individualized. Although endoscopy is less invasive and can be useful in complex scenarios, single-stage open surgery remains an effective and definitive option in young patients without comorbidities.<\/jats:p>","DOI":"10.1093\/jscr\/rjag643","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:18:47Z","timestamp":1784546327000},"source":"Crossref","is-referenced-by-count":0,"title":["Bouveret syndrome: simultaneous open surgery as definitive treatment in a young patient, a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Julio Cesar","family":"Acocal-Juarez","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas Alejandro","family":"Payan-Rosete","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1390-962X","authenticated-orcid":false,"given":"Christian Ronal","family":"Sancho-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Aguilar-Adan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Ba\u00f1uelos-Huerta","sequence":"additional","affiliation":[{"name":"Department of Training, Education and Research, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Ram\u00edrez-Barranco","sequence":"additional","affiliation":[{"name":"Department of Training, Education and Research, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Sartillo-Guerra","sequence":"additional","affiliation":[{"name":"Department of Training, Education and Research, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5177-7255","authenticated-orcid":false,"given":"Eduardo Yahir","family":"Aguilar-Lazcano","sequence":"additional","affiliation":[{"name":"Department of Training, Education and Research, Hospital General de Tlaxcala IMSS Bienestar , Tlaxcala 90606 ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"2026081114140286400_ref1","volume-title":"StatPearls [Internet]","author":"Turner","year":"2026"},{"key":"2026081114140286400_ref2","doi-asserted-by":"publisher","first-page":"69","DOI":"10.2147\/CEG.S132069","article-title":"Bouveret syndrome: current management strategies","volume":"11","author":"Caldwell","year":"2018","journal-title":"Clin Exp Gastroenterol"},{"key":"2026081114140286400_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":"2026081114140286400_ref4","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1007\/s003300000444","article-title":"Bouveret\u2019s syndrome: CT findings","volume":"10","author":"T\u00fcney","year":"2000","journal-title":"Eur Radiol"},{"key":"2026081114140286400_ref5","doi-asserted-by":"publisher","first-page":"1335","DOI":"10.1056\/NEJMicm1711592","article-title":"Bouveret\u2019s syndrome","volume":"378","author":"Ramos","year":"2018","journal-title":"N Engl J Med"},{"key":"2026081114140286400_ref6","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/S1665-2681(19)31937-4","article-title":"Bouveret\u2019s syndrome. Narrative review","volume":"6","author":"Koulaouzidis","year":"2007","journal-title":"Ann Hepatol"},{"key":"2026081114140286400_ref7","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.suc.2018.12.006","article-title":"Gallstone disease: Cholecystitis, Mirizzi syndrome, Bouveret syndrome, gallstone ileus","volume":"99","author":"Alemi","year":"2019","journal-title":"Surg Clin North Am"},{"key":"2026081114140286400_ref8","doi-asserted-by":"publisher","first-page":"e2299","DOI":"10.7759\/cureus.2299","article-title":"Bouveret's syndrome: literature review","volume":"10","author":"Haddad","year":"2018","journal-title":"Cureus"},{"key":"2026081114140286400_ref9","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"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag643\/70613554\/rjag643.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag643\/70613554\/rjag643.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:14:15Z","timestamp":1786472055000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag643\/8759097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag643","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag643"}}