{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:56:14Z","timestamp":1772999774558,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Uremia has been associated with slowed intestinal motility, resulting in loss of peristalsis and the development of paralytic ileus. We present a case of uremia\u2010induced paralytic ileus in a 70\u2010year\u2010old woman. The patient was admitted with a 7\u2010day history of abdominal pain, vomiting, and constipation. Initial evaluation revealed a soft non\u2010tender abdomen with decreased bowel sounds. Urgent ultrasonography showed dilated gut loops and sluggish gut motility, while atrophic kidneys with hydronephrosis were also appreciated. Routine biochemistry labs revealed elevated creatinine and potassium levels, and an erect abdominal X\u2010ray showed mild to moderate air\u2010fluid levels. Notably, common risk factors for paralytic ileus, such as recent surgery or gastrointestinal procedures, immobility, hypokalemia, hypothyroidism, hypercalcaemia, hypocalcemia, hypomagnesemia, and diabetes mellitus, were ruled out. The patient also had no history of anticholinergic or opioid use. Given the absence of other causes, uremia was established as the underlying cause of paralytic ileus. After initial treatment for ileus, the patient underwent hemodialysis, which led to significant improvement in symptoms. This case highlights the importance of recognizing uremia as a potential cause of unexplained ileus, contributing to the limited literature on uremia\u2010associated ileus.<\/jats:p>","DOI":"10.1002\/ccr3.72018","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T04:25:42Z","timestamp":1770697542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Uremic Paralytic Ileus in a 70\u2009Years Old Female: A Diagnostic Dilemma"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7357-1977","authenticated-orcid":false,"given":"Ali","family":"Gohar","sequence":"first","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6892-8736","authenticated-orcid":false,"given":"Abdul","family":"Rehman","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3536-0044","authenticated-orcid":false,"given":"Maryam","family":"Ilyas","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6460-9185","authenticated-orcid":false,"given":"Abdur","family":"Rehman","sequence":"additional","affiliation":[{"name":"Lahore General Hospital  Lahore Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Bilal","sequence":"additional","affiliation":[{"name":"Punjab Medical College  Faisalabad Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hafiza","family":"Iman","sequence":"additional","affiliation":[{"name":"Punjab Medical College, Faisalabad Medical University  Faisalabad Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8599-6861","authenticated-orcid":false,"given":"Masab","family":"Ali","sequence":"additional","affiliation":[{"name":"Punjab Medical College, Faisalabad Medical University  Faisalabad Punjab Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5248-0749","authenticated-orcid":false,"given":"Muhammad Husnain","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Medicine S Tentishev Asian Medical Institute  Kant Kyrgyzstan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312120962636"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.573"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14046"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.66038"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200201000\u201000005"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002512\u2010199303040\u201000004"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739\u2010019\u201002190\u20105"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.16563"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.4081\/pr.2012.e3"},{"issue":"3","key":"e_1_2_14_11_1","first-page":"109","article-title":"Paralytic Ileus in a Vegetarian With Pneumonia Infection","volume":"5","author":"Yusrie K. U.","year":"2004","journal-title":"Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000009215"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1756\u20106614\u20104\u20107"},{"key":"e_1_2_14_14_1","volume-title":"StatPearls","author":"Beach E. C.","year":"2025"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72018","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:22:30Z","timestamp":1772990550000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ccr3.72018"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72018","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72018"}}