{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:08:44Z","timestamp":1777907324645,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T00:00:00Z","timestamp":1594944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>One of the rare complications of cholelithiasis is gallstone ileus which occurs in &lt;5% of patients. Among them, &lt;3% develop Bouveret\u2019s syndrome: gastric outlet obstruction by a large gallstone in the pylorus or duodenum. One large review of 128 patients showed it to present at a mean age of 74.1\u2009\u00b1\u200911.1 years with a mean gallstone size of 4.6\u2009\u00b1\u20091.5\u2009cm, with nausea or vomiting in 86%, abdominal pain in 71% and haematemesis in 15%. The diagnosis is usually clear on oesophagogastroduodenoscopy or abdominal contrast-enhanced computed tomography. We present a case with massive upper gastrointestinal bleeding, due to erosion of a cystic artery pseudoaneurysm.<\/jats:p>","DOI":"10.1177\/0049475520940489","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T08:01:10Z","timestamp":1594972870000},"page":"383-385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Erodes and bleeds, fistulises and obstructs: Bouveret\u2019s syndrome"],"prefix":"10.1177","volume":"50","author":[{"given":"Rinkal B","family":"Kakadiya","sequence":"first","affiliation":[{"name":"Senior Resident, Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uttam","family":"Thakur","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1837-2614","authenticated-orcid":false,"given":"Lileshwar","family":"Kaman","sequence":"additional","affiliation":[{"name":"Professor, Department of Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8020-9848","authenticated-orcid":false,"given":"Harshal S","family":"Mandavdhare","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,17]]},"reference":[{"key":"bibr1-0049475520940489","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1177\/000313480106700815","volume":"67","author":"Jones TA","year":"2001","journal-title":"Am Surg"},{"key":"bibr2-0049475520940489","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-019-01054-x"},{"key":"bibr3-0049475520940489","first-page":"777","volume":"88","author":"Heinrich D","year":"1993","journal-title":"Am J Gastroenterol"},{"key":"bibr4-0049475520940489","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.907273"},{"key":"bibr5-0049475520940489","doi-asserted-by":"crossref","unstructured":"Haddad FG, Mansour W and Deeb L. Bouveret's syndrome: literature review.\n                      Cureus\n                      2018; 10: e2299.","DOI":"10.7759\/cureus.2299"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520940489","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475520940489","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520940489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:32:31Z","timestamp":1777642351000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475520940489"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,17]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/0049475520940489"],"URL":"https:\/\/doi.org\/10.1177\/0049475520940489","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,17]]}}}