{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:30Z","timestamp":1756425870762,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,6,6]]},"abstract":"<jats:p>Our patient is a 19-year-old man who presented to the emergency department after consuming 50\u201360 units of alcohol over a weekend. He presented with a 2-day history of right-upper quadrant (RUQ) and epigastric pain radiating to the back. On examination he was haemodynamically stable. His abdomen was soft with minimal tenderness in the RUQ, epigastric and right-iliac fossa areas. Laboratory results showed a slightly raised erythrocyte sedimentation rate. Amylase and white cell count were normal. Ultrasound was performed raising the suspicion of intussusception. A CT scan was recommended and confirmed the presence of an intussusception. Once diagnosis was established, the patient had an emergency laparotomy and right hemicoloectomy, with per-operative findings consistent with the CT findings. This case illustrates the importance of keeping an open approach to all differentials while considering a diagnosis along with the importance of recognising intussusception when it occurs as complications can each represent a cause of mortality on their own.<\/jats:p>","DOI":"10.1136\/bcr-2014-204183","type":"journal-article","created":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T06:21:32Z","timestamp":1403245292000},"page":"bcr2014204183","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Epigastric pain\u2026it's not always alcohol! An unusual presentation of caecal intussusception"],"prefix":"10.1136","volume":"2014","author":[{"given":"J","family":"Doherty","sequence":"first","affiliation":[{"name":"Department of Surgery, Sligo Regional Hospital, Sligo, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sligo Regional Hospital, Sligo, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,20]]},"reference":[{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318267a75e"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-3979-8"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.10.023"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.4","first-page":"767","article-title":"Does the index operation influence the course and outcome of adhesive intestinal obstruction?","volume":"163","author":"Matter","year":"1997","journal-title":"Eur J Surg"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(96)00419-9"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(76)90196-3"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.7","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199708000-00003"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.8","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.75.890.750185"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.9","unstructured":"Kim H Blake M Harisinghami M . Adult intestinal intussusception: CT appearances and identification of a causative lead point."},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.10","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.407"},{"key":"2025082804105919000_2014.jun20_1.bcr2014204183.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(03)00108-9"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:11:07Z","timestamp":1756379467000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,20]]},"references-count":11,"alternative-id":["10.1136\/bcr-2014-204183"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204183","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,6,20]]}}}