{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:05Z","timestamp":1756363205976,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Bouveret's syndrome is defined as gastric outlet obstruction secondary to an impacted gallstone in the duodenum via a cholecystoduodenal or cholecystogastric fistula. Common radiological findings include pneumobilia, calcified right upper quadrant mass, pyloric or duodenal obstruction and cholecystoduodenal fistula. Initial attempts through endoscopic retrieval may be successful; however, results can vary. Surgical options include enterolithotomy or gastrotomy with or without cholecystectomy and fistula repair. We describe a unique case of Bouveret's syndrome with short-lived obstruction followed by vomiting of gallstones in a morbidly obese patient and discuss the complexities of investigation and management of these patients.<\/jats:p>","DOI":"10.1136\/bcr-2012-007009","type":"journal-article","created":{"date-parts":[[2012,11,19]],"date-time":"2012-11-19T11:35:44Z","timestamp":1353324944000},"page":"bcr2012007009","source":"Crossref","is-referenced-by-count":2,"title":["An unusual presentation of cholecystoduodenal fistula: vomiting of gallstones"],"prefix":"10.1136","volume":"2012","author":[{"given":"Wendy L","family":"Thomson","sequence":"first","affiliation":[{"name":"Department of General Surgery, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumeet","family":"Miranda","sequence":"additional","affiliation":[{"name":"Department of Radiology, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of General Surgery, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,11,19]]},"reference":[{"key":"2025082723015681000_2012.nov16_1.bcr2012007009.1","doi-asserted-by":"crossref","unstructured":"Doycheva I Limaye A Suman A . \u00a0Bouveret's syndrome: case report and review of the literature. Gastroenterol Res Pract 2009; doi:10.1155\/2009\/914951","DOI":"10.1155\/2009\/914951"},{"key":"2025082723015681000_2012.nov16_1.bcr2012007009.2","first-page":"1","article-title":"Stenose du pylore adherent a la vesicule","volume":"16","author":"Bouveret","year":"1896","journal-title":"Revue Medicale (Paris)"},{"key":"2025082723015681000_2012.nov16_1.bcr2012007009.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00645.x"},{"key":"2025082723015681000_2012.nov16_1.bcr2012007009.4","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S1665-2681(19)31937-4","article-title":"Bouveret's syndrome. Narrative review","volume":"6","author":"Koulaouzidis","year":"2007","journal-title":"Ann Hepatol"},{"key":"2025082723015681000_2012.nov16_1.bcr2012007009.5","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.0409"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:02:06Z","timestamp":1756360926000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,19]]},"references-count":5,"alternative-id":["10.1136\/bcr-2012-007009"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007009","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,11,19]]}}}