{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T01:43:24Z","timestamp":1782351804627,"version":"3.54.5"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,2,12]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>Bouveret\u2019s syndrome is a rare form of small bowel obstruction caused by a large biliary stone entering the lumen of the duodenum or the stomach through a bilioenteric fistula. Treatment options include various surgical techniques. However, recent advances in endoscopy also allow non-surgical endoscopic treatment options. We report a 68-year-old man, with a disseminated small intestinal neuroendocrine tumour, presenting with Bouveret\u2019s syndrome without any previously reported biliary disease. He experienced a number of symptoms 1\u2009month prior to his admittance, which were difficult to differentiate from other infectious diseases and complications due to his neuroendocrine tumour. Abdominal CT showed a biliary stone impacted in the duodenal bulb, small bowel obstruction, pneumobilia and a bilioenteric fistula. The patient was treated with endoscopic electrohydraulic lithotripsy to fragment the large gallstone in smaller retractable pieces. The patient avoided major surgery and was discharged the following day.<\/jats:p>","DOI":"10.1136\/bcr-2018-228316","type":"journal-article","created":{"date-parts":[[2019,2,23]],"date-time":"2019-02-23T04:19:52Z","timestamp":1550895592000},"page":"e228316","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Bouveret\u2019s syndrome treated with endoscopic electrohydraulic lithotripsy"],"prefix":"10.1136","volume":"12","author":[{"given":"Aysun","family":"Avci","sequence":"first","affiliation":[{"name":"Department of Surgery, Zealand University Hospital, K\u00f8ge, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"G\u00f6genur","sequence":"additional","affiliation":[{"name":"Department of Surgery, Zealand University Hospital, K\u00f8ge, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of Surgery, Zealand University Hospital, K\u00f8ge, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,2,22]]},"reference":[{"key":"2025082713181083000_12.2.e228316.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70421-4"},{"key":"2025082713181083000_12.2.e228316.2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i1.65"},{"key":"2025082713181083000_12.2.e228316.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1941.02820470001001"},{"key":"2025082713181083000_12.2.e228316.4","first-page":"365","article-title":"Gallstone ileus--clinical and therapeutic aspects","volume":"3","author":"Beuran","year":"2010","journal-title":"J Med Life"},{"key":"2025082713181083000_12.2.e228316.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9011-9"},{"key":"2025082713181083000_12.2.e228316.6","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s11845-007-0096-9","article-title":"Endoscopically assisted minimally invasive surgery for gallstones","volume":"178","author":"Thompson","year":"2009","journal-title":"Ir J Med Sci"},{"key":"2025082713181083000_12.2.e228316.7","doi-asserted-by":"crossref","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":"2025082713181083000_12.2.e228316.8","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/j.gie.2014.10.045","article-title":"Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome","volume":"81","author":"Makker","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"2025082713181083000_12.2.e228316.9","doi-asserted-by":"crossref","unstructured":"Uno K , Yasuda K . Electrohydraulic lithotripsy and laser lithotripsy. In: In Mine T , Fujita R , eds. Therapeutic endoscopy for pancreatico-biliary diseases. 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