{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:41:00Z","timestamp":1771299660841,"version":"3.50.1"},"reference-count":1,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Marked inflammatory contraction of the gallbladder at the time of cholecystectomy is associated with biliary injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The evolution of contraction is traced in two patients who developed acute cholecystitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Within months the gallbladder became fibrotically contacted and in doing so pulled the adjacent liver down, puckering the surface of the liver. This puckering could be observed preoperatively on computed tomography and also visually at the time of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Puckering of the liver (\u201cPucker sign\u201d) can alert the surgeon to the presence of severe contractive inflammation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.583","type":"journal-article","created":{"date-parts":[[2018,9,28]],"date-time":"2018-09-28T07:39:15Z","timestamp":1538120355000},"page":"455-459","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Pucker sign: an operative and radiological indicator of impending operative difficulty due to severe chronic contractive inflammation in cholecystectomy"],"prefix":"10.1002","volume":"25","author":[{"given":"Steven M.","family":"Strasberg","sequence":"first","affiliation":[{"name":"Section of Hepato\u2010Pancreato\u2010Biliary Surgery Siteman Cancer Center Barnes\u2010Jewish Hospital Washington University School of Medicine in St. Louis 660 S. Euclid Avenue, CB 8109 St. Louis MO 63110 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Mallinckrodt Institute of Radiology Siteman Cancer Center Barnes\u2010Jewish Hospital Washington University School of Medicine in St. Louis St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chet W.","family":"Hammill","sequence":"additional","affiliation":[{"name":"Section of Hepato\u2010Pancreato\u2010Biliary Surgery Siteman Cancer Center Barnes\u2010Jewish Hospital Washington University School of Medicine in St. Louis 660 S. Euclid Avenue, CB 8109 St. Louis MO 63110 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2011.00393.x"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhbp.583","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T02:31:51Z","timestamp":1694831511000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10]]},"references-count":1,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1002\/jhbp.583"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.583","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10]]},"assertion":[{"value":"2018-10-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}