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{
    "pk": 4814,
    "title": "Child with Closed Head Injury and Persistent Vomiting",
    "subtitle": null,
    "abstract": "<p><strong>Case Presentation: </strong>We present the case of a six-year-old child with autism who presented with persistent vomiting in the setting of a closed head injury (CHI). Computed tomography of the head was normal, but due to persistent vomiting a radiograph of the abdomen was done, which showed multiple, rare-earth magnets in the abdomen. There was no history of witnessed ingestion. These magnets had caused enteroenteric fistula formation leading to persistent vomiting.</p>\n<p><strong>Discussion:</strong> In the setting of CHI, vomiting can be a sign of concussion or intracranial hemorrhage. In cases of CHI where intracranial pathology is ruled out and vomiting still persists, it is important to explore intra-abdominal causes of vomiting, especially in developmentally challenged children as they have higher incidence of unwitnessed foreign body ingestions.</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": "Rare Earth Magnets"
        },
        {
            "word": "Closed Head Injury"
        },
        {
            "word": "vomiting"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8sj094vw",
    "frozenauthors": [
        {
            "first_name": "Abdullah",
            "middle_name": "",
            "last_name": "Khan",
            "name_suffix": "",
            "institution": "Sidra Medical and Research Centre, Department of Emergency Medicine, Doha, Qatar",
            "department": ""
        }
    ],
    "date_submitted": "2023-10-28T08:17:30.005000Z",
    "date_accepted": "2024-01-17T18:20:14.250000Z",
    "date_published": "2024-04-17T13:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/4814/galley/10642/download/"
    },
    "galleys": [
        {
            "label": "Layout",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/4814/galley/9624/download/"
        },
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/4814/galley/10642/download/"
        }
    ]
}