title: Uncommon presentation of a common disease - Bouveret's syndrome: A case report and systematic literature review.
abstract: OBJECTIVE
  To investigate and summarise the current evidence surrounding management of Bouveret's syndrome (BS).
  
  
  METHODS
  A MEDLINE search was performed for the BS. The search was conducted independently by two clinicians (Yahya AL-Habbal and Matthew Ng) in April 2016. A case of BS is also described.
  
  
  RESULTS
  A total of 315 articles, published from 1967 to 2016, were found. For a clinically meaningful clinical review, articles published before 01/01/1990 and were excluded, leaving 235 unique articles to review. Twenty-seven articles were not available (neither by direct communication nor through inter-library transfer). These were also excluded. The final number of articles reviewed was 208. There were 161 case reports, 13 reviews, 23 images (radiological and clinical images), and 11 letters to editor. Female to male ratio was 1.82. Mean age was 74 years. Treatment modalities included laparotomy in the majority of cases, laparoscopic surgery, endoscopic surgery and shockwave lithotripsy.
  
  
  CONCLUSIONS
  There is limited evidence in the literature about the appropriate approach. We suggest an algorithm for management of BS.
authors.affiliation: Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
authors.forename: Yahya
authors.initials: Y
authors.lastname: Al-Habbal
authors.affiliation: Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Ng
authors.affiliation: Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Bird
authors.affiliation: Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
authors.forename: Trevor
authors.initials: T
authors.lastname: McQuillan
authors.affiliation: Yahya AL-Habbal, Matthew Ng, Department of Surgery, Box Hill Hospital, Victoria 3128, Australia.
authors.forename: Haytham
authors.initials: H
authors.lastname: Al-Khaffaf
keywords: Biliary anomalies; Bouveret’s syndrome; Digestive system; Duodenal obstruction diagnosis; Duodenal obstruction etiology; Duodenal obstruction surgery; Endoscopy; Gallstones complications; Gallstones surgery; Humans; Intestinal fistula diagnosis