Bouveret syndrome in a young patient: A case report and review of literature

Table 1 Summary of clinical features from a review of representative cases of Bouveret syndrome

Ref.	Year	Age/sex	Clinical presentation	Diagnostic method (s)	Stone diameter (cm)	Treatment strategy	Outcome
Present study	2025	49/M	Abdominal pain, nausea, and frequent vomiting	CT, endoscopy	5	Laparoscopic gastrotomy, cholecystectomy, and fistula repair	Successfully cured
Sousa et al[21]	2025	68/F	Bilateral lower back pain, nausea, vomiting, and constipation	CT	3.8	Enterolithotomy with enterorrhaphy	Successfully cured
Alshaikh et al[22]	2025	60/F	Abdominal pain, nausea and vomiting	CT, endoscopy,	7	Laparotomy with fistula tract dissection, stone extraction, duodenoplasty, and cholecystectomy	Successfully cured
Osorio-Euan et al[23]	2024	58/F	Severe abdominal pain, nausea, vomiting, and abdominal distension	CT	4	Open duodenal enterotomy	Successfully cured
Nagata and Fujikawa[24]	2024	88/M	Abdominal pain, nausea, persistent vomiting, and dehydration	CT	4	Laparoscopic subtotal cholecystectomy, jejunal resection, and Roux-en-Y duodenal repair	Successfully cured
Thant and Thomas[25]	2023	84/F	Abdominal pain, vomiting blood	CT, endoscopy	5	Laparotomy with enterotomy and stone extraction	Successfully cured
Bergeron and Pichette[26]	2023	78/F	Vomiting and abdominal pain	CT	3.3	Laparotomy with enterectomy and gastrotomy for stone extraction	Successfully cured
Probert et al[27]	2022	74/F	Abdominal pain and frequent vomiting	CT, endoscopy X-ray	Not described	Laparoscopic-converted-to-open gastrotomy with stone extraction	Successfully cured
Singh et al[28]	2020	89/M	Acute confusion, coffee-grounds vomiting, and anorexia	CT, endoscopy	3.5	Mini-laparotomy with pyloromyotomy, stone extraction, and omental patch repair	Successfully cured
Philipose et al[29]	2019	78/M	Abdominal pain with non-bloody, non-bilious vomiting	CT, endoscopy	6.6	Laparoscopic-converted-to-open duodenotomy, stone extraction, fistula repair, cholecystectomy	Successfully cured
Le Mouel et al[30]	2019	86/F	Exacerbated hepatic colic with recent fever	CT, endoscopy	4	Endoscopic mechanical lithotripsy and extraction	Successfully cured
Di Re et al[31]	2019	57/F	Intractable postprandial vomiting and reduced bowel function	X-ray, enhanced CT	4.8	Open duodenotomy and subtotal cholecystectomy after failed laparoscopic attempt	Successfully cured
Ramos and Chiang[32]	2018	57/F	Gastric outlet obstruction secondary to Bouveret’s syndrome	CT, endoscopy	4.4	Failed endoscopic removal → open laparotomy, stone extraction, and repair of iatrogenic duodenal perforation	Successfully cured

CT: Computed tomography.