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It is defined as the migration of a large gallstone through a cholecystoduodenal fistula leading to gastric outlet obstruction. During this case, gastroenterology was urgently paged to the operating room during an elective cholecystectomy in a 61-year-old female when a large gallstone was found in a fistula. Subsequently, mechanical lithotripsy and basket removal of the stone were performed. This case highlights the importance of swift diagnosis and utility of less-invasive endoscopy procedures for treatment of Bouveret syndrome.<\/jats:p>","DOI":"10.1177\/2050313x251359737","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T06:25:31Z","timestamp":1752906331000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative diagnosis of Bouveret syndrome requiring urgent endoscopic intervention: A case report"],"prefix":"10.1177","volume":"13","author":[{"given":"Zehara","family":"Abidi","sequence":"first","affiliation":[{"name":"Touro College of Osteopathic Medicine, Harlem, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1035-6704","authenticated-orcid":false,"given":"Shrey","family":"Dalwadi","sequence":"additional","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3311-9822","authenticated-orcid":false,"given":"Avneet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishita","family":"Dhawan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Elfant","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cooper University Hospital, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2299"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70421-4"},{"key":"e_1_3_3_4_2","first-page":"1","article-title":"Bouveret syndrome\u2014the rarest variant of gallstone ileus: a case report and literature review","volume":"2013","author":"Mavroeidis VK","year":"2013","unstructured":"Mavroeidis VK, Matthioudakis DI, Economou NK, et al. 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Bouveret\u2019s syndrome: unusual case with unusual therapeutic approach. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc 2009; 7(12): e72.","journal-title":"Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2016.1241142"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000001221"},{"key":"e_1_3_3_15_2","unstructured":"Turner AR Kudaravalli P Al-Musawi JH et al. Bouveret syndrome (Bilioduodenal Fistula). In: StatPearls. 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