{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T05:38:26Z","timestamp":1775453906215,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T00:00:00Z","timestamp":1608249600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gallbladder disease and peptic ulcer disease (PUD) can present very similarly, and misdiagnosis can often result because of conflicting symptoms. PUD in pregnancy is relatively rare, in part due to the changes in estrogen and progesterone levels. We present a case of a postpartum female, post operation Day 5, with signs\/symptoms, physical exam and laboratory work consistent with acute cholecystitis that was found to have a perforated duodenal ulcer intraoperatively. The authors suggest that a fistula would have resulted with ongoing disease. Bilio-enteric fistulas can often form due to ongoing cholelithiasis disease. Cholecystoduodenal fistulas (CDFs) are the most common fistulas to present. It is possible that the incidence of CDF formation secondary to perforated duodenal ulcers is underestimated due to signs and symptoms not presenting until gallstone ileus is diagnosed.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa459","type":"journal-article","created":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T11:20:07Z","timestamp":1602760807000},"source":"Crossref","is-referenced-by-count":3,"title":["A unique presentation of perforated duodenal ulcer in a postpartum woman: a case report"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ashali","family":"Jain","sequence":"first","affiliation":[{"name":"St George\u2019s University School of Medicine, True Blue, Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Azzolini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Rutgers University - Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth","family":"Kipnis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jersey Shore University Medical Center, Neptune City, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,17]]},"reference":[{"key":"2020121813291554900_ref1","article-title":"Perforated duodenal ulcer in pregnancy-a rare cause of acute abdominal pain in pregnancy: a case report and literature review","volume":"2011","author":"Essilfie","year":"2011","journal-title":"Case Rep Obstet Gynecol"},{"key":"2020121813291554900_ref2","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1097\/00006250-195706000-00018","article-title":"Serum histaminase during pregnancy","volume":"9","author":"Barnes","year":"1957","journal-title":"Obstet Gynecol"},{"key":"2020121813291554900_ref3","doi-asserted-by":"crossref","first-page":"41S","DOI":"10.1097\/01.AOG.0000558958.71086.a9","article-title":"Management and outcomes of peptic ulcer disease in pregnancy [37C]","volume":"133","author":"Rosen","year":"2019","journal-title":"Obstet Gynecol"},{"key":"2020121813291554900_ref4","article-title":"Acute reactive acalculous cholecystitis secondary to duodenal ulcer perforation","volume":"11","author":"Rahim","year":"2019","journal-title":"Cureus"},{"key":"2020121813291554900_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3476-z","article-title":"Laparoscopic hand sewn repair of a cholecystoduodenal fistula as a trans operative finding. A case report","author":"Pulido","year":"2014","journal-title":"Surg Endosc Other Interv Tech"},{"key":"2020121813291554900_ref6","doi-asserted-by":"crossref","first-page":"S697","DOI":"10.14309\/01.ajg.0000594548.82727.e9","article-title":"Chronic peptic ulcer disease resulting in cholecystoduodenal fistula","volume":"114","author":"Dharmadhikari","year":"2019","journal-title":"Am J Gastroenterol"},{"key":"2020121813291554900_ref7","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.lpm.2019.02.033","article-title":"Bilio-digestive fistula secondary to duodenal ulcer","volume":"48","author":"Meriam","year":"2019","journal-title":"Press Medicale"},{"key":"2020121813291554900_ref8","first-page":"1007","article-title":"Choledochoduodenal fistula secondary to duodenal peptic ulcer: a case report","volume":"38","author":"Topal","year":"1997","journal-title":"Acta Radiol"},{"key":"2020121813291554900_ref9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.11604\/pamj.2018.29.177.15043","article-title":"Choledochoduodenal fistula due to peptic duodenal ulcer diagnosed by x-barium meal study: interest of medical treatment","volume":"29","author":"Chaouch","year":"2018","journal-title":"Pan Afr Med J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa459\/34949439\/rjaa459.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa459\/34949439\/rjaa459.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T06:02:34Z","timestamp":1608357754000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa459\/6039441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa459","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,12,1]]},"article-number":"rjaa459"}}