{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:21:53Z","timestamp":1762899713602,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2019,1,24]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                  <jats:title\/>\n                  <jats:sec sec-type=\"intro\">\n                     <jats:title>Introduction<\/jats:title>\n                     <jats:p>An 80-year-old woman presented to the emergency department with severe right-sided abdominal pain that had started after her last meal. Physical examination revealed fever (38.6\u00b0C) and rebound tenderness in the right upper quadrant of the abdomen. The laboratory studies showed a leucocyte count of 11.3\u00d710<jats:sup>9<\/jats:sup>\/L (normal, 3.7\u20138.0\u00d710<jats:sup>9<\/jats:sup>\/L) and a C-reactive protein level of 2.34 mg\/dL (normal, &lt;0.03 mg\/dL). There were no other significant findings. A CT scan of the abdomen with contrast revealed retroperitoneal air around a duodenal diverticulum (figures 1 and 2).<\/jats:p>\n                     <jats:fig position=\"float\" id=\"F1\" orientation=\"portrait\">\n                        <jats:label>Figure 1<\/jats:label>\n                        <jats:caption>\n                           <jats:p>Computed tomography scan of the abdomen with contrast (coronal section). A diverticulum in the second portion of the duodenum (arrow) and retroperitoneal air (asterisk) are shown.<\/jats:p>\n                        <\/jats:caption>\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"flgastro-2018-101128f01\" position=\"float\" orientation=\"portrait\"\/>\n                     <\/jats:fig>\n                     <jats:fig position=\"float\" id=\"F2\" orientation=\"portrait\">\n                        <jats:label>Figure 2<\/jats:label>\n                        <jats:caption>\n                           <jats:p>Computed tomography scan of the abdomen with contrast (axial section). The area with retroperitoneal air (asterisk) is marked.<\/jats:p>\n                        <\/jats:caption>\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"flgastro-2018-101128f02\" position=\"float\" orientation=\"portrait\"\/>\n                     <\/jats:fig>\n                  <\/jats:sec>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Question<\/jats:title>\n                  <jats:p>What is the most likely diagnosis and the cause underlying the condition?<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2018-101128","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T17:15:34Z","timestamp":1550769334000},"page":"81-82","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["A rare complication of the duodenal diverticulum"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-8858","authenticated-orcid":false,"given":"Hiroshi","family":"Sugimoto","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery, St. Luke\u2019s International Hospital, Chuo-ku, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aoi","family":"Fujikawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, St. Luke\u2019s International Hospital, Chuo-ku, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Kishida","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, St. Luke\u2019s International Hospital, Chuo-ku, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,2,21]]},"reference":[{"doi-asserted-by":"publisher","key":"2025090708224905000_11.1.81.1","DOI":"10.1001\/archsurg.2011.821"},{"key":"2025090708224905000_11.1.81.2","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/coa.12576","article-title":"Analysis of ingested foreign bodies according to age, type and location: a retrospective observational study","volume":"41","author":"Kim","year":"2016","journal-title":"Clin Otolaryngol"},{"key":"2025090708224905000_11.1.81.3","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1053\/j.gastro.2009.12.073","article-title":"Electronic clinical challenges and images in Gi. shivering and right upper quadrant pain","volume":"138","author":"Yamaguchi","year":"2010","journal-title":"Gastroenterology"},{"doi-asserted-by":"publisher","key":"2025090708224905000_11.1.81.4","DOI":"10.1007\/s00595-009-4110-x"}],"container-title":["Frontline Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/flgastro-2018-101128","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T15:22:58Z","timestamp":1757258578000},"score":1,"resource":{"primary":{"URL":"https:\/\/fg.bmj.com\/lookup\/doi\/10.1136\/flgastro-2018-101128"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,21]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,12,6]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/flgastro-2018-101128"],"URL":"https:\/\/doi.org\/10.1136\/flgastro-2018-101128","relation":{},"ISSN":["2041-4137","2041-4145"],"issn-type":[{"type":"print","value":"2041-4137"},{"type":"electronic","value":"2041-4145"}],"subject":[],"published":{"date-parts":[[2019,2,21]]}}}