{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:31:45Z","timestamp":1773304305166,"version":"3.50.1"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T00:00:00Z","timestamp":1749254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005075","name":"UMCG","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005075","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Acute abdomen after section cesarean (SC) is a case that can occur, and the diagnosis of the cause is very challenging. This case report describes the immediate diagnostic and management of unspecified abdominal pain on Day 13th post-SC, accompanied by complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      A 30-year-old woman with a history of SC on the 13th day came to the Emergency Room (ER) with abdominal pain and decreased consciousness. Focused Assisted Sonography in Trauma (FAST) and Kidney Ureter Bladder (KUB) X-ray as a diagnostic tool was performed, followed by laparotomy as definitive management. We found a 7 cm bladder rupture in the bladder dome, 8 L of urine mixed with pus, and 300 cc of blood clots. We manually evacuated the urine and blood clots and refreshed the bladder tissue and cystostomy, and then the bladder was sutured. Double antibiotics were given for\n                      <jats:italic toggle=\"yes\">Staphylococcus hemolyticus<\/jats:italic>\n                      infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The diagnosis of abdominal pain was challenging. Late diagnosis can cause complications and mortality. FAST and KUB X-rays are useful tools in the care of bladder rupture after SC. Laparotomy is an option for treatment. In this case, the patient underwent laparotomy followed by cystostomy. The role of double antibiotics is necessary in cases of sepsis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients with unspecified abdominal pain after SC need immediate diagnosis. Diagnosis with FAST is sufficient to be done in unstable patient conditions. Immediate management with Laparotomy and Cystostomy combined with antibiotics can minimize mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111494","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T11:59:38Z","timestamp":1749470378000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of unspecified abdominal pain and its complications: A case reports"],"prefix":"10.1097","volume":"132","author":[{"given":"Nadya","family":"Rahmatika","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Wijaya Kusuma University, Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soetojo","family":"Wirjopranoto","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Universitas Airlangga \u2013 Dr. Soetomo General Academic Hospital, Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yufi Aulia","family":"Azmi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bagus Wibowo","family":"Soetojo","sequence":"additional","affiliation":[{"name":"Departement of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Airlangga, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonius Galih Pranesdha","family":"Putra","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Universitas Airlangga \u2013 Dr. Soetomo General Academic Hospital, Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Muliawan","family":"Soetanto","sequence":"additional","affiliation":[{"name":"Department of Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"5","key":"R1-53-20260311","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0268947","article-title":"Assessment and determinants of acute post-caesarean section pain in a tertiary facility in Ghana","volume":"17","author":"Azanu","year":"2022","journal-title":"PLoS One"},{"issue":"3","key":"R2-53-20260311","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jemermed.2010.05.018","article-title":"Abdominal pain in a postpartum patient","volume":"41","author":"Waseem,","year":"2011","journal-title":"J. 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