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{
    "pk": 1394,
    "title": "Acute Abdominal Pain and a Whirlpool Sign on Computerized Tomography: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction:</b> Mesenteric volvulus is a rare cause of abdominal pain and bowel obstruction in elderly patients. When a mesenteric volvulus occurs in adult patients, the symptoms are often non-specific, which contributes to delays in diagnosis.<p></p><p><b><b>Case Report:</b></b> We present a case of a 75-year-old female who presented with non-specific abdominal pain. The rare whirlpool sign on computed tomography identified a mesenteric volvulus as the cause of small bowel obstruction. She was taken to the operating room and, after successful resection of the small bowel, she recovered and ultimately was discharged home.</p><p></p><p><b><b><b>Conclusion:</b></b></b> Early identification of a whirlpool sign and early surgical consultation are key to providing the best chance for salvage of ischemic small bowel due to mesenteric volvulus and to prevent a fatal outcome.</p>",
    "language": "eng",
    "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": "Mesenteric volvulus"
        },
        {
            "word": "malrotation"
        },
        {
            "word": "midgut volvulus"
        },
        {
            "word": "whirlpool sign"
        },
        {
            "word": "acute abdominal pain"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4467q0xg",
    "frozenauthors": [
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Libby",
            "name_suffix": "",
            "institution": "Cedars Sinai Health System, Department of Emergency Medicine, Los Angeles, California",
            "department": ""
        },
        {
            "first_name": "Evan",
            "middle_name": "",
            "last_name": "Stern",
            "name_suffix": "",
            "institution": "HCA Florida North Florida Hospital, Department of Graduate Medical Education, Gainesville, Florida; University of Central Florida/HCA Florida Healthcare, Gainesville, Florida",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Robyn",
            "middle_name": "",
            "last_name": "Hoelle",
            "name_suffix": "",
            "institution": "HCA Florida North Florida Hospital, Department of Graduate Medical Education, Gainesville, Florida; University of Central Florida/HCA Florida Healthcare, Gainesville, Florida",
            "department": "Emergency Medicine"
        }
    ],
    "date_submitted": "2023-05-23T17:29:23.835000Z",
    "date_accepted": "2023-10-24T11:11:26.665000Z",
    "date_published": "2024-02-13T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1394/galley/9611/download/"
    },
    "galleys": [
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            "label": "Layout",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1394/galley/3854/download/"
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1394/galley/9611/download/"
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}