{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:36Z","timestamp":1753877076065,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute abdomens are common conditions, with many aetiologies in developing countries. Abdominal bleeding due to snake envenomation is an extremely rare aetiology. A 11-year-old girl was admitted for acute abdominal pains. She had a history of foot bite of unknown origin. Physical examination revealed palor and abdominal tenderness. At laparotomy, there were peritoneal and retroperitoneal diffuse hematomas. Laboratory studies revealed abnormal coagulation profile. Retroperitoneal and peritoneal hematomas\u2019 diagnosis, by consumptive coagulopathy, due to snakebite envenomation, was made. Polyvalent antivenom administration permitted a normalization of coagulation profile, however, with persistent surgical site bleeding. Whole blood transfusion was administered with bleeding stop. Sudden abdominal pain, palor and signs of peritonism suggest an acute abdomen. However, abdominal bleeding due to snakebite envenomation should be considered, especially in child with unidentified bite history. Imaging modalities may helpful to confirm the abdominal bleeding. Antivenom is the mainstay of the treatment.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa148","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T11:07:12Z","timestamp":1587985632000},"source":"Crossref","is-referenced-by-count":3,"title":["Severe snakebite envenomation revealed by an acute abdomen"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5669-2526","authenticated-orcid":false,"given":"Iroukora","family":"Kassegne","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier r\u00e9gional de Kara, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tabana Essohanam","family":"Mouzou","sequence":"first","affiliation":[{"name":"Service de r\u00e9animation, Centre hospitalier universitaire de Kara, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kokou","family":"Kanassoua","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire de Kara, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamegnon","family":"Dossouvi","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire de Kara, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yawod Efo\u00e9-Ga","family":"Amouzou","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire de Kara, Kara, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aboza","family":"Sakiye","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Komlan","family":"Adabra","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fousseni","family":"Alassani","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayi Kossigan","family":"Amavi","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boyodi","family":"Tchangai","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekou\u00e9 David Joseph","family":"Dosseh","sequence":"first","affiliation":[{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier r\u00e9gional de Kara, Kara, Togo"},{"name":"Service de chirurgie g\u00e9n\u00e9rale et digestive, Centre hospitalier universitaire Sylvanus Olympio, Lom\u00e9, Togo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"2020061617232675500_ref1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40409-017-0127-6","article-title":"Snakebite envenomation turns again into a neglected tropical disease!","volume":"23","author":"Chippaux","year":"2017","journal-title":"J Venom Anim Toxins Incl Trop Dis"},{"key":"2020061617232675500_ref2","first-page":"1015","article-title":"Snake bite envenomation: experience in a regional hospital, Oman: a retrospective observational study","volume":"2","author":"Khan","year":"2017","journal-title":"SM Trop Med J"},{"key":"2020061617232675500_ref3","first-page":"423","article-title":"Envenimations et intoxications par les animaux venimeux ou v\u00e9n\u00e9neux. 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