{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T16:40:11Z","timestamp":1716828011660},"reference-count":2,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2018,1,13]]},"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec id=\"s1\"><jats:title>Clinical introduction<\/jats:title><jats:p>A 59-year-old man with no medical history presented to the ED with abdominal distension, vomiting and diffuse abdominal pain after drinking seven cups of white gourd drink (an authentic Asian drink composed mainly of white gourd). A chest radiograph was performed (figure 1).<\/jats:p><jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 1<\/jats:label><jats:caption><jats:p>Chest radiograph. AP, anteroposterior.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2018-207440f1\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><\/jats:sec><jats:sec id=\"s2\"><jats:title>Question<\/jats:title><jats:p>What is the most likely diagnosis?<\/jats:p><jats:p><jats:list list-type=\"alpha-upper\"><jats:list-item><jats:p>Crescent in doughnut sign, intussusception<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Falciform ligament sign, pneumoperitoneum<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Stepladder sign, small bowel obstruction<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Coffee-bean sign, sigmoid colon volvulus<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2018-207440","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T08:19:40Z","timestamp":1534407580000},"page":"571-571","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Man with severe abdominal pain"],"prefix":"10.1136","volume":"35","author":[{"given":"Chia-Wei","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Jing","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,8,16]]},"reference":[{"key":"2024052708580938000_35.9.571.1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.156.4.2003436"},{"key":"2024052708580938000_35.9.571.2","first-page":"8","article-title":"Radiological confirmation of intraperitoneal free gas","volume":"79","author":"Williams","year":"1997","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2018-207440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T15:58:17Z","timestamp":1716825497000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2018-207440"}},"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-2018-207440"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2018-207440","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,16]]}}}