{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:03:57Z","timestamp":1775829837705,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,9]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Bouveret syndrome is a rare complication of biliary lithiasis. This sequela is caused by the passage of the gallstone via a bilioenteric fistula, resulting in an impacted gallstone in the duodenum or stomach. The common presentation of non-specific symptoms contributes to the diagnostic uncertainty and delay, which is strongly associated with adverse outcomes. We report an uncomplicated stone extraction via open gastrotomy in an elderly man afflicted with bowel obstruction and biliary vomit secondary to Bouveret syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2019-230194","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T07:38:38Z","timestamp":1567064318000},"page":"e230194","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["The curious case of biliary emesis and bowel obstruction from Bouveret syndrome"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8989-5343","authenticated-orcid":false,"given":"Bing Lun","family":"Chow","sequence":"first","affiliation":[{"name":"Department of General Surgery, Belford Hospital, Fort William, Highland, UK"},{"name":"Anaesthetics and Critical Care, Borders General Hospital, Melrose, Scottish Borders, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khawaja","family":"Zia","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Belford Hospital, Fort William, Highland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Belford Hospital, Fort William, Highland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariasoosai","family":"Pathmarajah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Belford Hospital, Fort William, Highland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"2025082703500590000_12.8.e230194.1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl.2012.6.2.172"},{"key":"2025082703500590000_12.8.e230194.2","first-page":"e2299","article-title":"Bouveret\u2019s syndrome: literature review","volume":"10","author":"Haddad","year":"2018","journal-title":"Cureus"},{"key":"2025082703500590000_12.8.e230194.3","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.3748\/wjg.v13.i8.1295","article-title":"Gallstone ileus: report of two cases and review of the literature","volume":"13","author":"Chou","year":"2007","journal-title":"World J Gastroenterol"},{"key":"2025082703500590000_12.8.e230194.4","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-200001000-00014"},{"key":"2025082703500590000_12.8.e230194.5","first-page":"1","article-title":"Bouveret syndrome\u2014the rarest variant of gallstone ileus: a case report and literature review","volume":"2013","author":"Mavroeidis","year":"2013","journal-title":"Case Rep Surg"},{"key":"2025082703500590000_12.8.e230194.6","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v8.i1.65"},{"key":"2025082703500590000_12.8.e230194.7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4240\/wjgs.v9.i1.25","article-title":"Uncommon presentation of a common disease\u2014Bouveret\u2019s syndrome: a case report and systematic literature review","volume":"9","author":"Al-Habbal","year":"2017","journal-title":"World J Gastrointest Surg"},{"key":"2025082703500590000_12.8.e230194.8","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":"2025082703500590000_12.8.e230194.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00645.x"},{"key":"2025082703500590000_12.8.e230194.10","doi-asserted-by":"publisher","DOI":"10.1148\/rg.244035222"},{"key":"2025082703500590000_12.8.e230194.11","first-page":"012","volume-title":"Bouveret Syndrome in an Elderly Female","volume":"1","author":"Perry","year":"2017"},{"key":"2025082703500590000_12.8.e230194.12","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":"2025082703500590000_12.8.e230194.13","first-page":"39","article-title":"Bouveret syndrome, a rare form of gallstone ileus. Case report","volume":"4","author":"Mac\u00edas Jara","year":"2018","journal-title":"Case Rep Child Meml Hosp Chic"},{"key":"2025082703500590000_12.8.e230194.14","unstructured":"Turner AR , Bhimji SS . Bouveret Syndrome. Treasure Island (FL): StatPearls Publishing, 2018."},{"key":"2025082703500590000_12.8.e230194.15","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1186\/1756-0500-6-195","article-title":"Gastric outlet obstruction in a patient with Bouveret\u2019s syndrome: a case report","volume":"6","author":"Nabais","year":"2013","journal-title":"BMC Res Notes"},{"key":"2025082703500590000_12.8.e230194.16","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1159\/000151581","article-title":"Successful endoscopic management of Bouveret\u2019s syndrome in a patient with cholecystoduodenocolic fistulae","volume":"2","author":"Tanwar","year":"2008","journal-title":"Case Rep Gastroenterol"},{"key":"2025082703500590000_12.8.e230194.17","unstructured":"Caputi Iambrenghi O , De Fazio M , Martines G , et al . Treitz gallstone obstruction managed by endoscopic extraction. Hepatogastroenterology 2001;48(41."},{"key":"2025082703500590000_12.8.e230194.18","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-209869"},{"key":"2025082703500590000_12.8.e230194.19","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.3748\/wjg.v9.i12.2873","article-title":"Bouveret\u2019s syndrome complicated by a distal gallstone ileus","volume":"9","author":"Gencosmanoglu","year":"2003","journal-title":"World J Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:50:17Z","timestamp":1756291817000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":19,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,28]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2019-230194"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230194","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}