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{
    "pk": 1090,
    "title": "Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD.\nCase Report:\n We report a case of a middle-aged woman who presented with a few hours of severe abdominal pain, nausea, and vomiting. Given her hemodynamic instability, she was sent urgently for computed tomography, which showed an incomplete small bowel malrotation, mesenteric volvulus, and high-grade small bowel obstruction with evolving ischemia. The patient underwent exploratory laparotomy to resect most of her small intestines. Biopsies later revealed active Crohn’s disease.\nConclusion:\n Patients with flare-ups of IBD are common in the ED, but very few present with a midgut volvulus later in life. Our case is unique and adds to the literature due to the dramatic consequences of undiagnosed Crohn’s disease in a patient with intermittent symptoms and extensive workup spanning over two decades.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Volvulus"
        },
        {
            "word": "small bowel obstruction"
        },
        {
            "word": "mesenteric ischemia"
        },
        {
            "word": "Crohn’s disease"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/550815cr",
    "frozenauthors": [
        {
            "first_name": "Minh Thu",
            "middle_name": "T.",
            "last_name": "Nguyen",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Internal Medicine, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "Amir",
            "middle_name": "",
            "last_name": "Ali",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "P.",
            "last_name": "Bodkin",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2021-10-06T04:46:30+02:00",
    "date_accepted": "2021-10-06T04:46:30+02:00",
    "date_published": "2021-10-06T04:47:13+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1090/galley/832/download/"
        }
    ]
}