{
  "abstract": "Bouveret syndrome is a rare cause of gastric outlet obstruction due to gallstone migration through a bilioenteric fistula. We present a 76-year-old woman with multiple comorbidities who developed Bouveret syndrome and was treated with endoscopic holmium laser lithotripsy. Although the obstructing stone was successfully fragmented and removed, the patient later developed a jejunal perforation. She was ultimately transitioned to hospice care. To our knowledge, jejunal perforation after endoscopic laser lithotripsy for Bouveret syndrome has not been previously reported. This case highlights a rare but serious complication of minimally invasive endoscopic management, particularly in high-risk patients with large stones.",
  "abstract_shown": true,
  "affiliations": [
    "Tulane University School of Medicine, New Orleans, LA.",
    "Division of Gastroenterology, Baylor Scott & White, Irving, TX."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Meghana N Vankina",
      "orcid": "0000-0001-7996-757X"
    },
    {
      "affs": [
        1
      ],
      "name": "Jayaprakash Sreenarasimhaiah"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1k5tqr5wjvepf.bib",
  "cited_by": 0,
  "doi": "10.14309/crj.0000000000002372",
  "fulltext_url": "https://europepmc.org/articles/PMC13686742",
  "id": "1k5tqr5wjvepf",
  "issns": [
    "2326-3253"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910379",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Biliary and Gastrointestinal Fistulas"
    ]
  ],
  "openalex": "W7223085207",
  "pdf_url": "https://europepmc.org/articles/PMC13686742?pdf=render",
  "pmcid": "PMC13686742",
  "pmid": "42910379",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1k5tqr5wjvepf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42910379",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910379"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Biliary and Gastrointestinal Fistulas",
      "subfield": "general"
    }
  ],
  "title": "Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.",
  "title_text": "Endoscopic Management of Bouveret Syndrome Complicated by Jejunal Perforation.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/1k5tqr5wjvepf",
  "venue": "ACG case reports journal",
  "versions": []
}