{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:23:23Z","timestamp":1768433003615,"version":"3.49.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T00:00:00Z","timestamp":1467158400000},"content-version":"vor","delay-in-days":180,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Neuromuscular and vascular hamartoma (NMVH) is a rare, controversial lesion of the intestine, with only 23 cases reported in the English literature since its initial description in 1982.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 59 year old female suffering from longstanding Crohn\u2019s disease with chronic stricture presented with symptoms of small bowel obstruction. Contrast studies demonstrated massive dilatation of the proximal small bowel. Laparotomy identified a 5 cm long stenotic segment of ileum, with grossly distended jejunum and ileum proximally. Pathology determined the stricture\u2019s aetiology as a neuromuscular and vascular hamartoma of the small intestine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>NMVH is a benign lesion of hamartomatous origin. Its very existence is questionable due to histological similarities with several reactive pathologies, such as Crohn\u2019s and diaphragm diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>NMVH could be confused with a spectrum of chronic inflammatory bowel conditions, but this report establishes it as a distinct cause of chronic bowel obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2016.06.042","type":"journal-article","created":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T00:22:14Z","timestamp":1467937334000},"page":"1-3","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Neuromuscular and vascular hamartoma as an unusual cause of small bowel obstruction"],"prefix":"10.1097","volume":"26","author":[{"given":"Kristen E.","family":"Elstner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher R.","family":"Vickers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohan M.","family":"Gett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min R.","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise V.","family":"Killen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-1-20260114","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1136\/gut.23.11.1008","article-title":"Neuromuscular and vascular hamartoma of small bowel","volume":"23","author":"Fernando","year":"1982","journal-title":"Gut"},{"key":"R2-1-20260114","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1136\/jclinpath-2013-201913","article-title":"Neuromuscular and vascular hamartoma: is it a true hamartoma","volume":"67","author":"Ren","year":"2014","journal-title":"J. Clin. Pathol"},{"key":"R3-1-20260114","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1177\/1066896915600518","article-title":"Neuromuscular and vascular hamartoma of the small intestine: an exuberant reparative process secondary to chronic inflammation","volume":"23","author":"Crothers","year":"2014","journal-title":"Int. J. Surg. Pathol"},{"key":"R4-1-20260114","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s00428-001-0584-7","article-title":"Neuromuscular and vascular hamartoma of the cecum (2002)","volume":"440","author":"Shiomi","year":"2002","journal-title":"Virchows Arch"},{"key":"R5-1-20260114","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1097\/MPG.0b013e3182540e7f","article-title":"Neuromuscular and vascular hamartoma of the small intestine in a child","volume":"56","author":"Kaplan","year":"2013","journal-title":"J. Pediatr. Gastroenterol. Nutr"},{"key":"R6-1-20260114","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1136\/gut.28.12.1663","article-title":"Neuromuscular and vascular hamartoma of the small intestine: is it Crohn\u2019s disease","volume":"28","author":"Shepherd","year":"1987","journal-title":"Gut"},{"key":"R7-1-20260114","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/0974-2727.72213","article-title":"Neuromuscular and vascular hamartoma of the small bowel: a rare cause of intestinal obstruction","volume":"2","author":"Krishnamurthy","year":"2010","journal-title":"J Lab. 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