{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:55:16Z","timestamp":1769043316671,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,6,5]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Bouveret\u2019s syndrome is an uncommon cause of gastric outlet obstruction caused by the impaction of large gallstones in the duodenal lumen. The gallstones pass into the duodenal lumen through a cholecystogastric or a cholecystoduodenal fistula. Endoscopic retrieval with or without lithotripsy is the first line of management, often with variable success. We present a case of a woman in her 70s who presented with signs of gastric outlet obstruction and was diagnosed with Bouveret\u2019s syndrome with a 5\u2009cm diameter gallstone in the third part of her duodenum. Following several unsuccessful attempts of endoscopic extraction, she underwent successful jejunal enterotomy with fragmentation and extraction of the calculus using an Allis tissue holding forceps. Postoperative recovery was uneventful.<\/jats:p>","DOI":"10.1136\/bcr-2024-261232","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T22:35:33Z","timestamp":1718750133000},"page":"e261232","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Management of complicated Bouveret\u2019s syndrome"],"prefix":"10.1136","volume":"17","author":[{"given":"Priya","family":"Ranjan","sequence":"first","affiliation":[{"name":"Gastrointestinal Surgery, Army Hospital (Research and Referral), New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay Chetan","family":"Jha","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery, Command Hospital (Western Command), Panchkula, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant","family":"Gopal","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-7831","authenticated-orcid":false,"given":"Debabrata","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"key":"2025082711580671000_17.6.e261232.1","doi-asserted-by":"crossref","first-page":"5701","DOI":"10.12998\/wjcc.v8.i22.5701","article-title":"Bouveret syndrome masquerading as a gastric mass-unmasked with endoscopic Luminal laser Lithotripsy: a case report","volume":"8","author":"Parvataneni","year":"2020","journal-title":"World J Clin Cases"},{"key":"2025082711580671000_17.6.e261232.2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770707"},{"key":"2025082711580671000_17.6.e261232.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00645.x"},{"key":"2025082711580671000_17.6.e261232.4","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827eefed"},{"key":"2025082711580671000_17.6.e261232.5","first-page":"87","article-title":"Bouveret syndrome associated with acute Gangrenous Cholecystitis","volume":"17","author":"Iancu","year":"2008","journal-title":"J Gastrointestin Liver Dis"},{"key":"2025082711580671000_17.6.e261232.6","doi-asserted-by":"publisher","DOI":"10.1148\/rg.244035222"},{"key":"2025082711580671000_17.6.e261232.7","doi-asserted-by":"crossref","DOI":"10.1155\/2009\/914951","article-title":"Bouveret\u2019s syndrome: case report and review of the literature","volume":"2009","author":"Doycheva","year":"2009","journal-title":"Gastroenterol Res Pract"},{"key":"2025082711580671000_17.6.e261232.8","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":"2025082711580671000_17.6.e261232.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2482-13-33","article-title":"Bouveret\u2019s syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy","volume":"13","author":"Nickel","year":"2013","journal-title":"BMC Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:58:15Z","timestamp":1756321095000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":9,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,18]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2024-261232"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261232","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}