{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:12:10Z","timestamp":1785420730150,"version":"3.56.0"},"reference-count":9,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"unspecified","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,12]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Bouveret syndrome describes an ectopic migrating gallstone resulting in gastric outlet obstruction via a cholecystoduodenal\/cholecystogastric fistula. Due to its rarity, no current guidelines or formal consensus exist regarding its management or follow-up. We present a rare case of Bouveret syndrome in a man in his mid 80s. Attempts to endoscopically remove the impacted stone that caused the gastric outlet obstruction failed. We subsequently treated him with lithotripsy and gastrotomy alone with no further interventions, and contribute this case to existing literature regarding this complication of gallstone disease.<\/jats:p>","DOI":"10.1136\/bcr-2025-271946","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:25:21Z","timestamp":1785417921000},"page":"e271946","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Bouveret syndrome with lithotripsy and transgastric stone retrieval"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0829-2450","authenticated-orcid":false,"given":"Adedoyin","family":"Ojo","sequence":"first","affiliation":[{"name":"General Surgery, Royal United Hospital Bath NHS Trust, Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Loh","sequence":"additional","affiliation":[{"name":"Royal United Hospital, Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerda","family":"Seidel","sequence":"additional","affiliation":[{"name":"Royal United Hospital, Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"2026073006251454000_19.7.e271946.1","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":"2026073006251454000_19.7.e271946.2","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1097\/MCG.0000000000001221","article-title":"Bouveret Syndrome: A Systematic Review of Endoscopic Therapy and a Novel Predictive Tool to Aid in Management","volume":"54","author":"Ong","year":"2020","journal-title":"J Clin Gastroenterol"},{"key":"2026073006251454000_19.7.e271946.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00645.x"},{"key":"2026073006251454000_19.7.e271946.4","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1308\/rcsann.2019.0161","article-title":"A case report and review of the literature of Bouveret syndrome","volume":"102","author":"Singh","year":"2020","journal-title":"Ann R Coll Surg Engl"},{"key":"2026073006251454000_19.7.e271946.5","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s12328-020-01114-7","article-title":"Bouveret\u2019s syndrome and cholecystogastric fistula: a case-report and review of the literature","volume":"13","author":"Osman","year":"2020","journal-title":"Clin J Gastroenterol"},{"key":"2026073006251454000_19.7.e271946.6","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1080\/17474124.2016.1241142","article-title":"Novel treatment options for Bouveret\u2019s syndrome: a comprehensive review of 61 cases of successful endoscopic treatment","volume":"10","author":"Dumonceau","year":"2016","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"2026073006251454000_19.7.e271946.7","doi-asserted-by":"crossref","unstructured":"Tackett C . Surgical treatment of Bouveret syndrome without completion cholecystectomy and fistula repair: two cases and review of a simplified strategy. Int J Surg Case Rep 2025. doi:10.1016\/j.ijscr.2025.111248","DOI":"10.1016\/j.ijscr.2025.111248"},{"key":"2026073006251454000_19.7.e271946.8","doi-asserted-by":"crossref","DOI":"10.1016\/j.hpb.2017.02.315","article-title":"Treatment strategy for management of bouveret syndrome","volume":"19","author":"Khan","year":"2017","journal-title":"HPB"},{"key":"2026073006251454000_19.7.e271946.9","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgast-2019-000344","article-title":"Gallstone ileus: a review","volume":"6","author":"Inukai","year":"2019","journal-title":"BMJ Open Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271946","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:25:23Z","timestamp":1785417923000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":9,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,30]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2025-271946"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271946","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}