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{
    "pk": 9836,
    "title": "A Curious Case of Right Upper Quadrant Abdominal Pain",
    "subtitle": null,
    "abstract": "An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare in adults, delays in definitive diagnosis and management can result in bowel necrosis. Importantly, an emergency physician must be able to recognize bedside ultrasound findings associated with acutely dangerous intrabdominal pathology. [West J Emerg Med. 2016;17(5)630-633.]",
    "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": "midgut volvulus, ultrasound"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4z00s4qt",
    "frozenauthors": [
        {
            "first_name": "Andrew",
            "middle_name": "",
            "last_name": "Grock, MD",
            "name_suffix": "",
            "institution": "Olive View, UCLA Medical Center, Department of Emergency Medicine, Sylmar, California\nUniversity of Southern California Medical Center and Keck School of Medicine, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Wendy",
            "middle_name": "",
            "last_name": "Chan, MD",
            "name_suffix": "",
            "institution": "SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York\nKings County Hospital Department of Emergency Medicine, Brooklyn, New York",
            "department": "None"
        },
        {
            "first_name": "Ian",
            "middle_name": "S.",
            "last_name": "deSouza, MD",
            "name_suffix": "",
            "institution": "SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York\nKings County Hospital Department of Emergency Medicine, Brooklyn, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2016-05-24T12:59:41-07:00",
    "date_accepted": "2016-05-24T12:59:41-07:00",
    "date_published": "2016-08-08T13:24:40-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9836/galley/5418/download/"
        }
    ]
}