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{
    "pk": 1212,
    "title": "Mysterious Pelvic Hematoma in a Patient Who Speaks a Rare Ethiopian Dialect: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: In reporting this case of a patient with spontaneous iliac vein rupture, we highlight the importance of maintaining a high clinical suspicion of this vascular emergency in the at-risk patient.\nCase Report: A 50-year-old female with an uncommon language barrier presented with left lower abdominal pain after falling. Initial imaging showed pelvic hematoma of unclear etiology. Repeat computed tomography showed expanding hematoma, and after hemodynamic decompensation, exploratory laparotomy revealed a ruptured iliac vein.\nConclusion: Although rare, spontaneous iliac vein rupture has a high mortality rate, even when identified early. This case serves as a reminder to consider this potentially fatal diagnosis in the at-risk group and highlights the need to remain vigilant in patients who present with unexplained shock. Additionally, this case is a reminder of our duty to provide emergency care that transcends language barriers.",
    "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": "spontaneous iliac vein rupture"
        },
        {
            "word": "iliac vein rupture"
        },
        {
            "word": "venous rupture"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/83j701mc",
    "frozenauthors": [
        {
            "first_name": "Obianuju",
            "middle_name": "",
            "last_name": "Eziolisa",
            "name_suffix": "",
            "institution": "Orange Park Medical Center, Department of Emergency Medicine, Orange Park, Florida",
            "department": "None"
        },
        {
            "first_name": "Jennifer",
            "middle_name": "",
            "last_name": "Chapman",
            "name_suffix": "",
            "institution": "Orange Park Medical Center, Department of Emergency Medicine, Orange Park, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2022-12-30T04:38:53+05:30",
    "date_accepted": "2022-12-30T04:38:53+05:30",
    "date_published": "2022-12-29T13:30:00+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1212/galley/949/download/"
        }
    ]
}