{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T19:39:49Z","timestamp":1793907589168,"version":"4.8.0"},"reference-count":21,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,27]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>An 81-year-old woman, diabetic and hypertensive, presented with nausea and intermittent vomiting. She had dysphagia and loss of appetite for over 6 weeks and significant weight loss over 3 weeks and was admitted in general surgery unit on emergency basis. Investigations revealed dilated stomach and a stone in first part of duodenum, with probable site of obstruction at level of first part of duodenum, secondary to a cholecystoduodenal fistula. With a preoperative diagnosis of Bouveret\u2019s syndrome, she underwent laparotomy and subtotal cholecystectomy. Postoperative recovery was delayed due to gastroparesis and delayed gastric emptying which resolved with conservative management. Successful management of this case required a multidisciplinary team approach. Early diagnosis was the key to management. Mode of treatment and management of Bouveret\u2019s syndrome should be tailored to suit patient\u2019s age, comorbidities and performance status.<\/jats:p>","DOI":"10.1136\/bcr-2020-238326","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T15:26:48Z","timestamp":1612884408000},"page":"e238326","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Bouveret\u2019s syndrome: a strategic approach for management"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0965-6167","authenticated-orcid":false,"given":"Meghana","family":"Taggarsi","sequence":"first","affiliation":[{"name":"Department of General and HPB Surgery, Royal Blackburn Hospital, Blackburn, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snehal Kishore","family":"Lapsia","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal Blackburn Hospital, Blackburn, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Raymond","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Lancaster Infirmary, Lancaster, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asma","family":"Sultana","sequence":"additional","affiliation":[{"name":"Department of General and HPB Surgery, Royal Blackburn Hospital, Blackburn, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"2025082707164135000_14.2.e238326.1","unstructured":"Allen N , Malik H , Pettit S . Giant gallstone in the duodenum. BMJ Case Reports 2020."},{"key":"2025082707164135000_14.2.e238326.2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4240\/wjgs.v9.i1.25","article-title":"Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review","volume":"9","author":"Al-Habbal","year":"2017","journal-title":"World J Gastrointest Surg"},{"key":"2025082707164135000_14.2.e238326.3","first-page":"372","article-title":"First case reported of Bouveret\u2019s syndrome associated to duodenal and biliary perforation to retroperitoneum","volume":"108","author":"Vieiro-Medina","year":"2016","journal-title":"Spanish Journal of Gastroenterology"},{"key":"2025082707164135000_14.2.e238326.4","doi-asserted-by":"crossref","first-page":"819","DOI":"10.9738\/INTSURG-D-14-00087.1","article-title":"Bouveret's syndrome: an overlooked diagnosis. A case report and review of literature","volume":"99","author":"Qasaimeh","year":"2014","journal-title":"Int Surg"},{"key":"2025082707164135000_14.2.e238326.5","first-page":"75","article-title":"Complicated endoscopic management of Bouveret's syndrome. A case report and review","volume":"14","author":"Moschos","year":"2005","journal-title":"Rom J Gastroenterol"},{"key":"2025082707164135000_14.2.e238326.6","first-page":"1813","article-title":"Bouveret's syndrome: a rare presentation of gastric outlet obstruction","volume":"17","author":"Yu","year":"2019","journal-title":"Exp Ther Med"},{"key":"2025082707164135000_14.2.e238326.7","doi-asserted-by":"crossref","first-page":"33","DOI":"10.31729\/jnma.2814","article-title":"Exploring the Diagnosis and Management of Bouveret\u2019s Syndrome","volume":"54","author":"Bhattarai","year":"2016","journal-title":"Journal of Nepal Medical Association"},{"key":"2025082707164135000_14.2.e238326.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2012.12.016"},{"key":"2025082707164135000_14.2.e238326.9","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":"2025082707164135000_14.2.e238326.10","article-title":"Bouveret's syndrome","volume":"11","author":"Philipose","year":"2019","journal-title":"Cureus"},{"key":"2025082707164135000_14.2.e238326.11","first-page":"435","article-title":"Bouveret's syndrome","volume":"18","author":"Rehman","year":"2008","journal-title":"J Coll Physicians Surg Pak"},{"key":"2025082707164135000_14.2.e238326.12","doi-asserted-by":"crossref","unstructured":"Nickel F , Muller-Eschner M , Chu J . Bouveret\u2019s syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy. BMC Surgery. 2013:13\u201333.","DOI":"10.1186\/1471-2482-13-33"},{"key":"2025082707164135000_14.2.e238326.13","article-title":"Laparoscopic Management of Bouveret's Syndrome after Failed Endoscopic Approach.","volume":"2019","author":"Tchercansky","year":"2019","journal-title":"Case Rep Surg"},{"key":"2025082707164135000_14.2.e238326.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00645.x"},{"key":"2025082707164135000_14.2.e238326.15","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/701019"},{"key":"2025082707164135000_14.2.e238326.16","article-title":"The critical view of safety during laparoscopic cholecystectomy: Strasberg yes or no? an Italian multicentre study","author":"Sgaramella","year":"2020","journal-title":"Surg Endosc"},{"key":"2025082707164135000_14.2.e238326.17","first-page":"bcr0220113891","article-title":"Bouveret\u2019s syndrome: should we remove the gall bladder?","volume":"2011","author":"Jafferbhoy","year":"2011","journal-title":"Case Reports"},{"key":"2025082707164135000_14.2.e238326.18","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-1-73","article-title":"Bouveret's syndrome as an unusual cause of gastric outlet obstruction: a case report","volume":"1","author":"Joshi","year":"2007","journal-title":"J Med Case Rep"},{"key":"2025082707164135000_14.2.e238326.19","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s11605-009-0918-3","article-title":"A rare variant of gallstone ileus: Bouveret's syndrome","volume":"14","author":"Fancellu","year":"2010","journal-title":"J Gastrointest Surg"},{"key":"2025082707164135000_14.2.e238326.20","first-page":"472","article-title":"Laparoscopic treatment of Bouveret's syndrome presenting as acute pancreatitis","volume":"9","author":"Sica","year":"2005","journal-title":"JSLS"},{"key":"2025082707164135000_14.2.e238326.21","doi-asserted-by":"crossref","first-page":"rjx213","DOI":"10.1093\/jscr\/rjx213","article-title":"A case of Bouveret's syndrome treated with gastrojejunal anastomosis.","volume":"2017","author":"Kostakis","year":"2017","journal-title":"J Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238326","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:16:56Z","timestamp":1756304216000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,9]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-238326"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238326","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}