{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:20:09Z","timestamp":1757614809586,"version":"3.44.0"},"reference-count":2,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2018,1,20]]},"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec id=\"s1\">\n                  <jats:title>Clinical introduction<\/jats:title>\n                  <jats:p>An 89-year-old female patient presented to the ED with mild abdominal pain and a history of vomiting for 3\u2009days. Because of dementia, further history was unclear. Vital signs were normal. Clinical examination revealed mild abdominal pain without defence or signs of peritonism. Bowel sounds were normal. Lab results showed a white cell count of 16x10<jats:sup>9<\/jats:sup>\/L, otherwise normal. There was no episode of vomiting during the ED\u00a0consultation. A supine AXR\u00a0was performed (figure 1).<\/jats:p>\n                  <jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\">\n                     <jats:label>Figure 1<\/jats:label>\n                     <jats:caption>\n                        <jats:p>Supine AXR.<\/jats:p>\n                     <\/jats:caption>\n                     <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2017-207359f1\" position=\"float\" orientation=\"portrait\"\/>\n                  <\/jats:fig>\n               <\/jats:sec>\n               <jats:sec id=\"s2\">\n                  <jats:title>What is the diagnosis?<\/jats:title>\n                  <jats:list list-type=\"alpha-upper\">\n                     <jats:list-item>\n                        <jats:p>Foreign body<\/jats:p>\n                     <\/jats:list-item>\n                     <jats:list-item>\n                        <jats:p>Gallstone ileus<\/jats:p>\n                     <\/jats:list-item>\n                     <jats:list-item>\n                        <jats:p>Colon obstruction<\/jats:p>\n                     <\/jats:list-item>\n                     <jats:list-item>\n                        <jats:p>Intestinal volvulus<\/jats:p>\n                     <\/jats:list-item>\n                  <\/jats:list>\n               <\/jats:sec>","DOI":"10.1136\/emermed-2017-207359","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T04:19:40Z","timestamp":1534393180000},"page":"576-576","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Eighty-nine-year-old woman with abdominal pain and vomiting"],"prefix":"10.1136","volume":"35","author":[{"given":"Joerg","family":"Schramm","sequence":"first","affiliation":[{"name":"Institut f\u00fcr Notfallmedizin, UniversitatsSpital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Rickenbacher","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation, UniversitatsSpital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagmar Iris","family":"Keller","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Notfallmedizin, UniversitatsSpital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,16]]},"reference":[{"key":"2025090502361890000_35.9.576.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9011-9"},{"key":"2025090502361890000_35.9.576.2","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s12245-009-0134-7","article-title":"The coffee bean sign","volume":"2","author":"Moseley","year":"2009","journal-title":"Int J Emerg Med"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2017-207359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T09:36:30Z","timestamp":1757064990000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2017-207359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,16]]},"references-count":2,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2018,8,16]]},"published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1136\/emermed-2017-207359"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2017-207359","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"type":"print","value":"1472-0205"},{"type":"electronic","value":"1472-0213"}],"subject":[],"published":{"date-parts":[[2018,8,16]]}}}