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{
    "pk": 654,
    "title": "High Ascending Retrocecal Appendicitis in a Pediatric Patient Detected by Point-of-care Ultrasound",
    "subtitle": null,
    "abstract": "A 10-year-old male presented to our pediatric emergency department with progressive, colicky abdominal pain for one day, associated with fever and non-bilious vomiting. He had a guarded abdomen with sluggish bowel sounds. He was noted to have poor perfusion with tachycardia, which resolved with fluid resuscitation. Abdominal radiograph demonstrated the presence of a circular radiopaque structure at the right hypochondrial region. Point-of-care ultrasound revealed an ascending appendicitis with signs of perforation, which was unusually located just at the inferior edge of the liver, over the right hypochondrium. The patient was immediately admitted to the surgical intermediate care unit. Urgent laparoscopic appendectomy was successfully performed, and the child was discharged well.",
    "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": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2rf008fh",
    "frozenauthors": [
        {
            "first_name": "Takaaki",
            "middle_name": "",
            "last_name": "Mori",
            "name_suffix": "",
            "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore",
            "department": "None"
        },
        {
            "first_name": "Teng",
            "middle_name": "S.",
            "last_name": "Shin",
            "name_suffix": "",
            "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore",
            "department": "None"
        },
        {
            "first_name": "Gene",
            "middle_name": "Y.K.",
            "last_name": "Ong",
            "name_suffix": "",
            "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore",
            "department": "None"
        }
    ],
    "date_submitted": "2019-02-14T20:51:21Z",
    "date_accepted": "2019-02-14T20:51:21Z",
    "date_published": "2019-03-18T18:40:38Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/654/galley/414/download/"
        }
    ]
}