{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T19:00:49Z","timestamp":1751137249272,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T00:00:00Z","timestamp":1592179200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2020,6,15]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. A 76-year-old male patient who suffered small bowel anastomotic dehiscence believed to be a complication provoked by <jats:italic>Clostridioides difficile<\/jats:italic> enteritis. <jats:italic>Case Presentation<\/jats:italic>. The patient was a 76-year-old male who underwent small bowel resection with primary anastomosis for a small bowel obstruction. On postoperative day #7, he rapidly decompensated and upon return to the operating room was found to have complete anastomotic dehiscence with copious enteric spillage. The presentation appeared as if the staple line had burst open. Enteric contents confirmed the diagnosis of <jats:italic>Clostridioides difficile<\/jats:italic> enteritis. Subsequent hospital course was complicated by ventilatory-dependent respiratory failure, hemodynamic instability, and persistent anemia secondary to gastric ulcer requiring endoscopic cauterization. After a prolonged hospital course, he eventually progressed and was transferred to a skilled nursing facility on hospital day #42. <jats:italic>Discussion<\/jats:italic>. <jats:italic>Clostridioides difficile<\/jats:italic> causes inflammation and copious large volume secretions that would theoretically increase intraluminal pressures creating an internal tension. This tension along with other factors from the infection itself would likely be inhibitory of anastomotic healing. Although it is rare, <jats:italic>Clostridioides difficile<\/jats:italic> enteritis is being reported with increasing frequency, and in the setting of recent small bowel anastomosis, it should be considered a possible risk factor for anastomotic leak.<\/jats:p>","DOI":"10.1155\/2020\/9794823","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T23:31:42Z","timestamp":1592263902000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["<i>Clostridioides difficile<\/i> Enteritis Induced Anastomotic Rupture: A Case Report and Literature Review"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5884-5773","authenticated-orcid":true,"given":"David R.","family":"Velez","sequence":"first","affiliation":[{"name":"School of Medicine & Health Sciences, Department of Surgery, University of North Dakota, 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mentor","family":"Ahmeti","sequence":"additional","affiliation":[{"name":"School of Medicine & Health Sciences, Department of Surgery, University of North Dakota, 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202, USA"},{"name":"Sanford Medical Center, Fargo, ND, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1012413"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0707500"},{"issue":"1","key":"3","first-page":"131","volume":"12","year":"2015","journal-title":"Expert Review of Anti-Infective Therapy"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/143.1.42"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1086\/501989"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.12.027"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v5.i3.37"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/957257"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2014.01.008"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2013.07.017"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.563"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-007-0440-4"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.1.97"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/9794823.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/9794823.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2020\/9794823.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T23:31:44Z","timestamp":1592263904000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cris\/2020\/9794823\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,15]]},"references-count":13,"alternative-id":["9794823","9794823"],"URL":"https:\/\/doi.org\/10.1155\/2020\/9794823","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"type":"print","value":"2090-6900"},{"type":"electronic","value":"2090-6919"}],"subject":[],"published":{"date-parts":[[2020,6,15]]}}}