{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:16Z","timestamp":1753887556245,"version":"3.41.2"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3,1]]},"abstract":"<jats:p>A 2-year-old girl with a past medical history of cutaneous mastocytosis and eczema presented with 1 day of yellow-green, nonbloody vomiting, bradycardia, and listlessness. She was evaluated by her pediatrician and sent to the emergency department because of concern for dehydration. In the emergency department, she improved with fluid rehydration but still had decreased energy and bradycardia. Her electrocardiogram revealed sinus bradycardia, and laboratory results did not reveal any electrolyte abnormalities. Glucose levels were normal. An abdominal radiograph revealed a moderate-to-large stool burden, and the results of a computed tomography scan of the head were normal. An abdominal ultrasound was obtained to evaluate for intussusception. The ultrasound revealed a blind-ending tubular structure in the right-lower quadrant with adjacent free fluid, which was concerning for appendicitis. The patient was admitted to the surgical service for further management and was taken to the operating room, where a definitive diagnosis was made.<\/jats:p>","DOI":"10.1542\/peds.2018-0504","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T13:25:24Z","timestamp":1549977924000},"source":"Crossref","is-referenced-by-count":0,"title":["Vomiting and Dehydration in a 2-Year-Old"],"prefix":"10.1542","volume":"143","author":[{"given":"Katherine","family":"Edmunds","sequence":"first","affiliation":[{"name":"Divisions of Emergency Medicine and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Gurria","sequence":"additional","affiliation":[{"name":"Departments of Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Koberlein","sequence":"additional","affiliation":[{"name":"Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;"},{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronine","family":"Zamor","sequence":"additional","affiliation":[{"name":"Divisions of Emergency Medicine and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Breech","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; and"},{"name":"Gynecology,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara","family":"Shah","sequence":"additional","affiliation":[{"name":"Kenwood Dermatology, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selena","family":"Hariharan","sequence":"additional","affiliation":[{"name":"Divisions of Emergency Medicine and"},{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"issue":"1","key":"2021121013194887700_B1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13052-017-0335-2","article-title":"Acute appendicitis in young children less than 5 years: review article.","volume":"43","author":"Almaramhy","year":"2017","journal-title":"Ital J Pediatr"},{"issue":"3","key":"2021121013194887700_B2","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1542\/peds.2009-1360","article-title":"Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000\u20132006.","volume":"125","author":"Guthrie","year":"2010","journal-title":"Pediatrics"},{"issue":"1","key":"2021121013194887700_B3","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0301-2115(01)00518-8","article-title":"The conservative management of adnexal torsion\u2014a case-report and review of the literature.","volume":"101","author":"Rody","year":"2002","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"6","key":"2021121013194887700_B4","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1001\/archpedi.159.6.532","article-title":"Urgency of evaluation and outcome of acute ovarian torsion in pediatric patients.","volume":"159","author":"Anders","year":"2005","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"2021121013194887700_B5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.jmig.2011.08.722","article-title":"Risk factors, symptoms, and treatment of ovarian torsion in children: the twelve-year experience of one center.","volume":"19","author":"Tsafrir","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"issue":"6","key":"2021121013194887700_B6","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/S0002-9610(00)00503-1","article-title":"Acute ovarian torsion in children.","volume":"180","author":"Kokoska","year":"2000","journal-title":"Am J Surg"},{"issue":"2","key":"2021121013194887700_B7","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1067\/mem.2001.114303","article-title":"Ovarian torsion: a fifteen-year review.","volume":"38","author":"Houry","year":"2001","journal-title":"Ann Emerg Med"},{"issue":"9","key":"2021121013194887700_B8","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.1016\/j.jpedsurg.2013.04.026","article-title":"Ovarian torsion in children: management and outcomes.","volume":"48","author":"Geimanaite","year":"2013","journal-title":"J Pediatr Surg"},{"issue":"9","key":"2021121013194887700_B9","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.jpedsurg.2008.11.058","article-title":"Ovarian torsion. 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