Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. Jan 21, 2027; 33(3): 124453
Published online Jan 21, 2027. doi: 10.3748/wjg.124453
Published online Jan 21, 2027. doi: 10.3748/wjg.124453
Bouveret syndrome with a synchronous jejunal gallstone in an elderly patient with high cardiac risk: A case report
Mei-Xia Liu, Han Liu, Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
Author contributions: Liu MX performed case collection, image analysis, literature review, and drafted the initial manuscript; Liu H contributed to conceptualization, clinical supervision, manuscript revision, and final approval; both authors read and approved the final manuscript.
AI contribution statement: OpenAI Codex was used solely to assist with language editing, manuscript formatting, and organization of responses to reviewers. It was not used to generate clinical data, perform analyses, interpret findings independently, select references, or formulate conclusions. All AI-assisted content was critically reviewed and revised by the authors, who take full responsibility for the accuracy, originality, and integrity of the manuscript.
Supported by Taishan Scholar Program of Shandong Province, No. 202306343; and National Natural Science Foundation of China, No. 82270578.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Han Liu, Associate Chief Physician, Department of Gastroenterology, Qilu Hospital of Shandong University, No. 107 Wenhuaxi Road, Lixia District, Jinan 250012, Shandong Province, China. liuhan8698@163.com
Received: June 16, 2026
Revised: July 29, 2026
Accepted: September 10, 2026
Published online: January 21, 2027
Processing time: 151 Days and 14.5 Hours
Revised: July 29, 2026
Accepted: September 10, 2026
Published online: January 21, 2027
Processing time: 151 Days and 14.5 Hours
Core Tip
Core Tip: This case report highlights two findings in Bouveret syndrome. Computed tomography can confirm the diagnosis through Rigler’s triad and detect ectopic stones distal to the main obstruction, which altered the surgical plan in our patient. In elderly patients with elevated N-terminal pro-B-type natriuretic peptide and cardiac troponin at admission, survival depends on the tolerance of the heart and lungs to postoperative sepsis rather than on technical success. Despite 18 days of coordinated preparation by five specialist teams, the underlying heart disease could not prevent death.