{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:10:10Z","timestamp":1745763010935,"version":"3.40.4"},"reference-count":1,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,16]]},"abstract":"<jats:p>A 19-year-old woman presented to our emergency department with crampy abdominal pain and per rectal bleeding 2\u2005weeks after falling from a horse. She had been taking regular non-steroidal anti-inflammatory drugs (NSAIDs) for analgaesia. On arrival, she was tachycardic and tachypnoeic, with a lactate of 7.3 mmol\/L. \u2018FAST\u2019 ultrasonography was unremarkable and CT scan showed thickened wall of the transverse colon. She underwent flexible sigmoidoscopy, which demonstrated \u201cpatchy inflammation and an isolated area of severe deep ulceration with nodularity and oedema\u201d. A presumptive diagnosis of \u201cInflammatory Bowel Disease\u2014likely Crohn\u2019s\u201d, was made, and treated accordingly with steroids and Pentasa. Two months following discharge, the patient underwent a colonoscopy, showing a normal colon, however, \u201ca few ulcers in the terminal ileum\u201d were seen. She was seen by a gastroenterologist who deemed the most likely diagnosis to be NSAID-induced terminal ileitis and colitis. Having stopped the offending NSAID (and steroids), she has now made a full recovery.<\/jats:p>","DOI":"10.1136\/bcr-2015-210536","type":"journal-article","created":{"date-parts":[[2015,8,5]],"date-time":"2015-08-05T12:57:24Z","timestamp":1438779444000},"page":"bcr2015210536","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of abdominal sepsis following traumatic injury"],"prefix":"10.1136","volume":"2015","author":[{"given":"Matt","family":"Ellington","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,8,5]]},"reference":[{"key":"2025042706544994000_2015.aug05_1.bcr2015210536.1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1992.00400150135025"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:54:57Z","timestamp":1745762097000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210536"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,5]]},"references-count":1,"alternative-id":["10.1136\/bcr-2015-210536"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210536","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,8,5]]}}}