{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:00:06Z","timestamp":1772956806581,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute abdominal pathologies can cause electrocardiogram (ECG) changes mimicking an acute coronary syndrome (ACS), resulting in diagnostic uncertainty and delay. We report a 65-year-old male with multiple risk factors for ACS who presented with four hours of progressive epigastric and chest pain that resolved in the emergency department. ECG findings were concerning for new deeply inverted T-waves with normal troponins, raising concerns for Wellens Syndrome. Emergent heart catheterization was negative but abdominal computed tomography angiography showed occlusion of the superior mesenteric vessels. Subsequent exploratory laparotomy revealed a small bowel volvulus with extensive necrosis, resulting in a 430\u00a0cm resection.<\/jats:p>","DOI":"10.1093\/omcr\/omae080","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T02:07:45Z","timestamp":1722478065000},"source":"Crossref","is-referenced-by-count":1,"title":["No small dilemma: small bowel volvulus mimicking acute coronary syndrome"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1128-3045","authenticated-orcid":false,"given":"Cristian D","family":"Armas","sequence":"first","affiliation":[{"name":"National University of Trujillo School of Medicine, , Av. Roma 338, Trujillo 13011, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Bademian","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School Department of Internal Medicine, Division of Pulmonary Disease and Critical Care, , 825 Fairfax Ave, Norfolk, VA 23507, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4891-0359","authenticated-orcid":false,"given":"Mikaela","family":"Kcomt","sequence":"additional","affiliation":[{"name":"Universidad Privada Antenor Orrego School of Medicine, , Av. America Sur 3145, Trujillo 13008, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Burgess","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School Department of Surgery, , 825 Fairfax Ave, Norfolk, VA 23507, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5407-0459","authenticated-orcid":false,"given":"Xian","family":"Qiao","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School Department of Internal Medicine, Division of Pulmonary Disease and Critical Care, , 825 Fairfax Ave, Norfolk, VA 23507, United States"},{"name":"Sentara Medical Group Pulmonary, Critical Care, and Sleep Specialists, , 600 Gresham Dr, Norfolk VA 23507, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"2024073112355100400_ref1","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur Heart J"},{"key":"2024073112355100400_ref2","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/j.jacc.2012.11.018","article-title":"2013 ACCF\/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation\/American Heart Association task force on practice guidelines","volume":"61","author":"O'Gara","year":"2013","journal-title":"J Am Coll 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