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{
    "pk": 680,
    "title": "An Unusual Presentation of Cholecystoduodenal Fistula: Abdominal Pain out of Proportion to Exam",
    "subtitle": null,
    "abstract": "Cholecystoduodenal fistula (CDF) is a rare complication of gallbladder disease. Clinical presentation is variable, and preoperative diagnosis is challenging due to the non-specific symptoms of CDF. We discuss a 61-year-old male with a history of atrial fibrillation who presented with severe abdominal pain out of proportion to exam. The patient was diagnosed promptly and successfully managed non-operatively. This case presentation emphasizes the need to maintain a broad differential diagnosis for abdominal pain out of proportion to exam, with the possibility of a biliary-enteric fistula as a possible cause. It also stresses the importance of a multimodality imaging approach to arrive at a final diagnosis.",
    "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": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/82z2f1tw",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "McCreery",
            "name_suffix": "",
            "institution": "Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New York",
            "department": "None"
        },
        {
            "first_name": "Matthew",
            "middle_name": "",
            "last_name": "Meigh",
            "name_suffix": "",
            "institution": "Orange Regional Medical Center, Department of Emergency Medicine, Middletown, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2019-05-20T15:33:30-07:00",
    "date_accepted": "2019-05-20T15:33:30-07:00",
    "date_published": "2019-05-29T14:41:17-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/680/galley/439/download/"
        }
    ]
}