{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:21:39Z","timestamp":1782602499557,"version":"3.54.5"},"reference-count":16,"publisher":"International College of Surgeons","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Bouveret's syndrome is a rare cause of gastric outlet obstruction. Its diagnosis is often delayed or overlooked. It is characterized by the passage of a large gall bladder stone through a bilio-duodenal fistula, which becomes lodged in the duodenum causing duodenal obstruction. We report the case of a 70-year-old male with a history suggestive of gall bladder disease over a 1-year period. The diagnosis was confirmed by ultrasound, which showed a single large gall bladder stone and the patient was planned for elective laparoscopic cholecystectomy. One week prior to the elective surgery he presented with upper gastrointestinal bleeding for which he was admitted, diagnosed by a gastroenterologist as bleeding duodenal ulcer and treated by local epinephrine injection and blood transfusion. One week later he presented with a picture of acute gastric outlet obstruction, which proved by endoscopy to be due to a large stone impacted in the duodenum. Endoscopic management failed and the stone was managed by open surgery. The patient made a good postoperative recovery and for the last year he has remained free of symptoms.<\/jats:p>","DOI":"10.9738\/intsurg-d-14-00087.1","type":"journal-article","created":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:06:49Z","timestamp":1417478809000},"page":"819-823","source":"Crossref","is-referenced-by-count":63,"title":["Bouveret's Syndrome: An Overlooked Diagnosis. A Case Report and Review of Literature"],"prefix":"10.9738","volume":"99","author":[{"given":"Ghazi Raji","family":"Qasaimeh","sequence":"first","affiliation":[{"name":"Department of General Surgery, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology (JUST), Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohail","family":"Bakkar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology (JUST), Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Jadallah","sequence":"additional","affiliation":[{"name":"Department of Medicine, King Abdullah University Hospital (KAUH), Jordan University of Science and Technology (JUST), Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4721","reference":[{"issue":"1","key":"i0020-8868-99-6-819-b01","series-title":"Ulster Med J","first-page":"69","article-title":"Bouveret's syndrome: gallstone ileus causing gastric outlet obstruction","volume":"69","author":"Lawther\n              RE,","year":"2000","unstructured":"Lawther\n              RE, \n            \n              Diamond\n              T. \n          \n          Bouveret's syndrome: gallstone ileus causing gastric outlet obstruction. Ulster Med J2000;69(1):69\u201370"},{"issue":"1","key":"i0020-8868-99-6-819-b02","series-title":"Annals of Academy of Romanian Scientists: Medical sciences","first-page":"5","article-title":"Gallstone ileus\u2013still a problem with heart","volume":"3","author":"Beuran\n              M,","year":"2012","unstructured":"Beuran\n              M, \n            \n              Venter\n              MD, \n            \n              Ivanov\n              I, \n            \n              Smarandache\n              R, \n            \n              Iftimie-Nastase\n              I, \n            \n              Venter\n              DP. \n          \n          Gallstone ileus\u2013still a problem with heart. Annals of Academy of Romanian Scientists: Medical sciences2012;3(1):5\u201328"},{"issue":"5","key":"i0020-8868-99-6-819-b03","series-title":"World J Gastrointest Surg","first-page":"172","article-title":"Gallstone ileus: one-stage surgery in a patient with intermittent obstruction","volume":"2","author":"Nuno-Guzman\n              CM,","year":"2010","unstructured":"Nuno-Guzman\n              CM, \n            \n              Arroniz-Jauregui\n              J, \n            \n              Moreno-Perez\n              PA, \n            \n              Chavez-Solis\n              EA, \n            \n              Esparza-Arias\n              N, \n            \n              Hernandez-Gonzalez\n              CI. \n          \n          Gallstone ileus: one-stage surgery in a patient with intermittent obstruction. World J Gastrointest Surg2010;2(5):172\u2013176"},{"issue":"2","key":"i0020-8868-99-6-819-b04","series-title":"Ann Hepatol","first-page":"89","article-title":"Bouveret's syndrome. Narrative review","volume":"6","author":"Koulaouzidis\n              A,","year":"2007","unstructured":"Koulaouzidis\n              A, \n            \n              Moschos\n              J. \n          \n          Bouveret's syndrome. Narrative review. Ann Hepatol2007;6(2):89\u201391"},{"issue":"7","key":"i0020-8868-99-6-819-b05","series-title":"J Coll Physicians Surg Pak","first-page":"435","article-title":"Bouveret's syndrome","volume":"18","author":"Rehman\n              A,","year":"2008","unstructured":"Rehman\n              A, \n            \n              Hasan\n              Z, \n            \n              Saeed\n              A, \n            \n              Jamil\n              K, \n            \n              Azeem\n              Q, \n            \n              Zaidi\n              A\n            \n            et al\n          . Bouveret's syndrome. J Coll Physicians Surg Pak2008;18(7):435\u2013437"},{"issue":"5","key":"i0020-8868-99-6-819-b06","series-title":"Int. J Surg Case Rep","first-page":"528","article-title":"\u201cBouveret's syndrome\u201d presenting with acute pancreatitis: a very rare and challenging variant of gallstone ileus","volume":"4","author":"Zafar\n              A,","year":"2013","unstructured":"Zafar\n              A, \n            \n              Ingham\n              G, \n            \n              Jameel\n              JK. \n          \n          \u201cBouveret's syndrome\u201d presenting with acute pancreatitis: a very rare and challenging variant of gallstone ileus. Int. J Surg Case Rep2013;4(5):528\u2013530"},{"issue":"6","key":"i0020-8868-99-6-819-b07","series-title":"Cir Cir","first-page":"557","article-title":"Gastrointestinal bleeding and bowel obstruction as a presentation of Bouveret' syndrome","volume":"79","author":"Mengual-Ballester\n              M,","year":"2011","unstructured":"Mengual-Ballester\n              M, \n            \n              Guillen-Paredes\n              MP, \n            \n              Cases-Baldo\n              MJ, \n            \n              Garcia-Garcia\n              ML, \n            \n              Aguayo-Albasini\n              JL. \n          \n          Gastrointestinal bleeding and bowel obstruction as a presentation of Bouveret' syndrome. Cir Cir2011;79(6):557\u2013559"},{"issue":"2","key":"i0020-8868-99-6-819-b08","series-title":"Acta Gastroenterol Latinoam","first-page":"159","article-title":"Bouveret's syndrome: unusual cause of gastrointestinal bleeding","volume":"40","author":"Wonaga\n              A,","year":"2010","unstructured":"Wonaga\n              A, \n            \n              Fritz\n              V, \n            \n              D'Alessandro\n              M, \n            \n              Waldbaum\n              C. \n          \n          Bouveret's syndrome: unusual cause of gastrointestinal bleeding. Acta Gastroenterol Latinoam2010;40(2):159\u2013161"},{"issue":"1","key":"i0020-8868-99-6-819-b09","series-title":"Laparoendosc Adv Surg Tech A","first-page":"69","article-title":"An unusual case of Bouveret's syndrome","volume":"12","author":"Harthun\n              NL,","year":"2002","unstructured":"Harthun\n              NL, \n            \n              Long\n              SM, \n            \n              Wilson\n              W, \n            \n              Choudhury\n              A. \n          \n          An unusual case of Bouveret's syndrome. Laparoendosc Adv Surg Tech A2002;12(1):69\u201372"},{"issue":"4","key":"i0020-8868-99-6-819-b10","series-title":"Ann Thorac Surg","first-page":"1493","article-title":"Bouveret meets Boerhaave","volume":"81","author":"Modi\n              BP,","year":"2006","unstructured":"Modi\n              BP, \n            \n              Owens\n              C, \n            \n              Ashley\n              SW, \n            \n              Colson\n              YL. \n          \n          Bouveret meets Boerhaave. Ann Thorac Surg2006;81(4):1493\u20131495"},{"issue":"2","key":"i0020-8868-99-6-819-b11","series-title":"South Med J","first-page":"261","article-title":"Intragastric gallstone-induced bezoar: an unusual cause of acute gastric outlet obstruction","volume":"95","author":"Tadros\n              GM,","year":"2002","unstructured":"Tadros\n              GM, \n            \n              Draganescu\n              JM, \n            \n              Clarke\n              LE, \n            \n              Alboronz\n              MA. \n          \n          Intragastric gallstone-induced bezoar: an unusual cause of acute gastric outlet obstruction. South Med J2002;95(2):261\u2013264"},{"issue":"2","key":"i0020-8868-99-6-819-b12","series-title":"ANZ J Surg","first-page":"161","article-title":"Bouveret's syndrome in Melbourne","volume":"72","author":"Liew\n              V,","year":"2002","unstructured":"Liew\n              V, \n            \n              Layani\n              L\n            \n            \n              Speakman\n              D. \n          \n          Bouveret's syndrome in Melbourne. ANZ J Surg2002;72(2):161\u2013163"},{"issue":"6","key":"i0020-8868-99-6-819-b13","series-title":"Emergency Radiology","first-page":"335","article-title":"Radiological findings in Bouveret's syndrome","volume":"8","author":"Trubek\n              S,","year":"2001","unstructured":"Trubek\n              S, \n            \n              Bhama\n              JK, \n            \n              Lamki\n              N. \n          \n          Radiological findings in Bouveret's syndrome. Emergency Radiology2001;8(6):335\u2013337"},{"key":"i0020-8868-99-6-819-b14","series-title":"Case Rep Surg","first-page":"839370","article-title":"Bouveret syndrome\u2014the rarest variant of gallstone ileus: a case report and literature review","volume":"2013","author":"Mavroeidis\n              VK,","year":"2013","unstructured":"Mavroeidis\n              VK, \n            \n              Matthioudakis\n              DI, \n            \n              Economou\n              NK, \n            \n              Karanikas\n              ID. \n          \n          Bouveret syndrome\u2014the rarest variant of gallstone ileus: a case report and literature review. Case Rep Surg2013;2013:839370"},{"issue":"33ub","key":"i0020-8868-99-6-819-b15","series-title":"BMC Surg","article-title":"Bouveret's syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy","volume":"13","author":"Nickel\n              F,","year":"2013","unstructured":"Nickel\n              F, \n            \n              Muller-Eschner\n              MM, \n            \n              Chu\n              J, \n            \n              Von Tengg-Kobligk\n              H, \n            \n              Muller-Stich\n              BP. \n          \n          Bouveret's syndrome: presentation of two cases with review of the literature and development of a surgical treatment strategy. BMC Surg2013;13:33ub2013 Jun 24."},{"issue":"4","key":"i0020-8868-99-6-819-b16","series-title":"JSLS","first-page":"472","article-title":"Laparoscopic treatment of Bouveret's syndrome presenting as acute pancreatitis","volume":"9","author":"Sica\n              GS,","year":"2005","unstructured":"Sica\n              GS, \n            \n              Sileri\n              P, \n            \n              Gaspari\n              AL. \n          \n          Laparoscopic treatment of Bouveret's syndrome presenting as acute pancreatitis. JSLS2005;9(4):472\u2013475"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/99\/6\/article-p819.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/99\/6\/819\/2348133\/intsurg-d-14-00087_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/99\/6\/article-p819.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/99\/6\/article-p819.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:10:03Z","timestamp":1751483403000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/99\/6\/article-p819.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":16,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-14-00087.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}