{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:14:46Z","timestamp":1753877686031,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present the unusual case of a 52-year-old woman from a low-resource community in Guatemala who developed small bowel obstruction, followed by acute pulmonary edema. The patient had no prior history of abdominal surgeries or significant comorbidities, making this presentation unexpected. The obstruction was caused by a bezoar and complicated by fluid overload during resuscitation. Radiologic findings revealed dilated bowel loops, suggesting bowel obstruction, and Kerley B lines, indicating concurrent pulmonary edema. This report underscores the challenges of managing complex emergencies in resource-limited settings, highlighting the importance of timely surgical intervention and careful fluid management.<\/jats:p>","DOI":"10.1093\/omcr\/omaf021","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T10:33:17Z","timestamp":1745836397000},"source":"Crossref","is-referenced-by-count":0,"title":["Tangled culprit: a rare case of bezoar-induced small bowel obstruction with pulmonary Edema in a rural Guatemalan woman"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4177-6776","authenticated-orcid":false,"given":"Carlos","family":"Diaz","sequence":"first","affiliation":[{"name":"Department of Research, Universidad Francisco Marroqu\u00edn , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9773-7506","authenticated-orcid":false,"given":"Marcos","family":"Orellana","sequence":"additional","affiliation":[{"name":"Department of Research, Universidad Francisco Marroqu\u00edn , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6256-4705","authenticated-orcid":false,"given":"Javier","family":"Alarcon","sequence":"additional","affiliation":[{"name":"Department of Research, Universidad Francisco Marroqu\u00edn , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2393-2361","authenticated-orcid":false,"given":"Jose","family":"Maaz","sequence":"additional","affiliation":[{"name":"Department of Research, Universidad Francisco Marroqu\u00edn , Guatemala City ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"2025042806331175100_ref1","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.ijscr.2015.12.039","article-title":"A rare cause of small bowel obstruction due to bezoar in a virgin abdomen","volume":"19","author":"Nasri","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025042806331175100_ref2","doi-asserted-by":"publisher","first-page":"1507","DOI":"10.1148\/radiographics.19.6.g99no211507","article-title":"Clinical and radiologic features of pulmonary edema","volume":"19","author":"Gluecker","year":"1999","journal-title":"Radiographics"},{"key":"2025042806331175100_ref3","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1007\/s11910-022-01218-2","article-title":"The neurology and psychopathology of pica","volume":"22","author":"Schnitzler","year":"2022","journal-title":"Curr Neurol Neurosci Rep"},{"key":"2025042806331175100_ref4","doi-asserted-by":"publisher","first-page":"277","DOI":"10.3390\/diagnostics10050277","article-title":"Ultrasound signs in the diagnosis and staging of small bowel obstruction","volume":"10","author":"Tamburrini","year":"2020","journal-title":"Diagn (Basel)"},{"volume-title":"StatPearls","year":"2024","author":"Diamond","key":"2025042806331175100_ref5"},{"key":"2025042806331175100_ref6","doi-asserted-by":"publisher","first-page":"w20119","DOI":"10.4414\/smw.2019.20119","article-title":"Kerley B lines in the lung apex - a distinct CT sign for pulmonary congestion","volume":"149","author":"Loebelenz","year":"2019","journal-title":"Swiss Med Wkly"},{"key":"2025042806331175100_ref7","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1016\/j.ccc.2021.05.012","article-title":"Fluid therapy and acute respiratory distress syndrome","volume":"37","author":"Lee","year":"2021","journal-title":"Crit Care Clin"},{"key":"2025042806331175100_ref8","doi-asserted-by":"publisher","first-page":"rjy116","DOI":"10.1093\/jscr\/rjy116","article-title":"Pharmacobezoar-a rare case presented as gastric outlet obstruction","volume":"2018","author":"Jain","year":"2018","journal-title":"J Surg Case Rep"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/4\/omaf021\/63019957\/omaf021.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/4\/omaf021\/63019957\/omaf021.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T10:33:18Z","timestamp":1745836398000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf021\/8120911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,28]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,3,28]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf021","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2025,4]]},"published":{"date-parts":[[2025,3,28]]},"article-number":"omaf021"}}