{"id":"https://openalex.org/W4403719647","doi":"https://doi.org/10.14309/01.ajg.0001039852.70986.69","title":"S2621 Gallstone Ileus-Associated With Rare Dual Small Bowel Perforation and Peritonitis Complicated by Septic Shock","display_name":"S2621 Gallstone Ileus-Associated With Rare Dual Small Bowel Perforation and Peritonitis Complicated by Septic Shock","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403719647","doi":"https://doi.org/10.14309/01.ajg.0001039852.70986.69"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001039852.70986.69","doi":"https://doi.org/10.14309/01.ajg.0001039852.70986.69","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001039852.70986.69","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059690445","display_name":"Selome F. Yewedalsew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181697535","display_name":"SUNY Downstate Health Sciences University","ror":"https://ror.org/0041qmd21","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I181697535"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Selome F. Yewedalsew","raw_affiliation_strings":["State University of New York Downstate Health Sciences University, Brooklyn, NY;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"State University of New York Downstate Health Sciences University, Brooklyn, NY;","institution_ids":["https://openalex.org/I181697535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001593603","display_name":"Binyamin Ravina Abramowitz","orcid":"https://orcid.org/0009-0006-7436-962X","observed_orcids":["https://orcid.org/0009-0006-7436-962X"]},"institutions":[{"id":"https://openalex.org/I181697535","display_name":"SUNY Downstate Health Sciences University","ror":"https://ror.org/0041qmd21","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I181697535"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Binyamin R. Abramowitz","raw_affiliation_strings":["State University of New York Downstate Health Sciences University, New York, NY;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"State University of New York Downstate Health Sciences University, New York, NY;","institution_ids":["https://openalex.org/I181697535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108871646","display_name":"Anwar Uddin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181697535","display_name":"SUNY Downstate Health Sciences University","ror":"https://ror.org/0041qmd21","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I181697535"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anwar Uddin","raw_affiliation_strings":["State University of New York Downstate Medical Center, Brooklyn, NY;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"State University of New York Downstate Medical Center, Brooklyn, NY;","institution_ids":["https://openalex.org/I181697535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054409419","display_name":"Fuad I Abaleka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113638","display_name":"Covenant Medical Center","ror":"https://ror.org/01p0xth29","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210113638","https://openalex.org/I4210145403"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fuad Abaleka","raw_affiliation_strings":["Covenant Medical Center, Lubbock, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Covenant Medical Center, Lubbock, TX","institution_ids":["https://openalex.org/I4210113638"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026398037","display_name":"Tamta Chkhikvadze","orcid":"https://orcid.org/0000-0002-1476-2415","observed_orcids":["https://orcid.org/0000-0002-1476-2415"]},"institutions":[{"id":"https://openalex.org/I181697535","display_name":"SUNY Downstate Health Sciences University","ror":"https://ror.org/0041qmd21","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I181697535"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tamta Chkhikvadze","raw_affiliation_strings":["State University of New York Downstate Health Sciences University, Brooklyn, NY;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"State University of New York Downstate Health Sciences University, Brooklyn, NY;","institution_ids":["https://openalex.org/I181697535"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5059690445"],"corresponding_institution_ids":["https://openalex.org/I181697535"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S1834","last_page":"S1834"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13697","display_name":"Biliary and Gastrointestinal Fistulas","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13697","display_name":"Biliary and Gastrointestinal Fistulas","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12089","display_name":"Intestinal and Peritoneal Adhesions","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gallstone-ileus","display_name":"gallstone ileus","score":0.9959999918937683},{"id":"https://openalex.org/keywords/small-bowel-obstruction","display_name":"small bowel obstruction","score":0.949999988079071},{"id":"https://openalex.org/keywords/small-bowel-perforation","display_name":"small bowel perforation","score":0.9449999928474426},{"id":"https://openalex.org/keywords/peritonitis","display_name":"peritonitis","score":0.9589999914169312},{"id":"https://openalex.org/keywords/septic-shock","display_name":"septic shock","score":0.996999979019165},{"id":"https://openalex.org/keywords/gallstones","display_name":"gallstones","score":0.9350000023841858},{"id":"https://openalex.org/keywords/hyperbilirubinemia","display_name":"hyperbilirubinemia","score":0.8659999966621399},{"id":"https://openalex.org/keywords/exploratory-laparotomy","display_name":"exploratory laparotomy","score":0.8650000095367432},{"id":"https://openalex.org/keywords/bowel-resection","display_name":"bowel resection","score":0.871999979019165},{"id":"https://openalex.org/keywords/mechanical-intestinal-obstruction","display_name":"mechanical intestinal obstruction","score":0.609000027179718},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.5609999895095825},{"id":"https://openalex.org/keywords/diagnostic-challenges","display_name":"diagnostic challenges","score":0.33399999141693115},{"id":"https://openalex.org/keywords/treatment-withdrawal","display_name":"treatment withdrawal","score":0.492000013589859},{"id":"https://openalex.org/keywords/end-of-life-decision-making","display_name":"end-of-life decisions","score":0.7080000042915344},{"id":"https://openalex.org/keywords/coffee-ground-emesis","display_name":"coffee ground emesis","score":0.5820000171661377},{"id":"https://openalex.org/keywords/jaundice","display_name":"jaundice","score":0.7139999866485596},{"id":"https://openalex.org/keywords/anastomosis","display_name":"anastomosis","score":0.4050000011920929}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9728248715400696},{"id":"https://openalex.org/C2776919953","wikidata":"https://www.wikidata.org/wiki/Q1492299","display_name":"Gallstone ileus","level":3,"score":0.824918270111084},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.7271552085876465},{"id":"https://openalex.org/C2780199535","wikidata":"https://www.wikidata.org/wiki/Q223102","display_name":"Peritonitis","level":2,"score":0.716383695602417},{"id":"https://openalex.org/C2777125728","wikidata":"https://www.wikidata.org/wiki/Q738153","display_name":"Ileus","level":2,"score":0.6967739462852478},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.6110275387763977},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.47381889820098877},{"id":"https://openalex.org/C3018436397","wikidata":"https://www.wikidata.org/wiki/Q279324","display_name":"Bowel perforation","level":3,"score":0.46636518836021423},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.39287900924682617},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3901488184928894},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.38178712129592896},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2679736912250519},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.20476213097572327},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.16275811195373535},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.12135618925094604},{"id":"https://openalex.org/C2778527123","wikidata":"https://www.wikidata.org/wiki/Q11750728","display_name":"Punching","level":2,"score":0.0},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001039852.70986.69","doi":"https://doi.org/10.14309/01.ajg.0001039852.70986.69","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001039852.70986.69","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2980283421","https://openalex.org/W4387733880","https://openalex.org/W4387750586","https://openalex.org/W2951373260","https://openalex.org/W4404891499","https://openalex.org/W4413982198","https://openalex.org/W7158431184","https://openalex.org/W2624781533","https://openalex.org/W7161263113","https://openalex.org/W3209898242"],"abstract_inverted_index":{"Introduction:":[0],"Gallstone":[1,316],"ileus":[2,317],"is":[3,28,43,318,354],"a":[4,21,29,47,62,65,80,87,106,143,194,229,273,380],"rare":[5],"condition":[6,299,323],"constituting":[7],"1%-4%":[8],"of":[9,11,23,64,83,108,117,127,176,180,184,198,233,242,251,295,307],"cases":[10],"small":[12,235,252],"bowel":[13,26,166,236,253,328],"obstruction":[14,27],"(SBO).":[15],"It":[16],"primarily":[17],"affects":[18],"women":[19],"with":[20,35,68,79,105,142,257,272,339],"history":[22,107],"gallstones.":[24],"Mechanical":[25],"feared":[30],"complication.":[31,351],"Patients":[32],"typically":[33],"present":[34,61],"abdominal":[36,54,118,154],"pain,":[37,119],"jaundice,":[38,153],"nausea,":[39],"and":[40,70,94,111,122,141,160,163,171,182,207,281,309,331,345],"vomiting.":[41],"Diagnosis":[42],"often":[44],"confirmed":[45],"by":[46,245,261],"computed":[48,376],"tomography":[49,377],"(CT)":[50],"abdomen,":[51],"although":[52],"serial":[53],"X-rays":[55],"may":[56],"also":[57],"be":[58],"useful.":[59],"We":[60],"case":[63,90],"patient":[66,202,269,312],"presenting":[67],"SBO":[69,84],"hyperbilirubinemia,":[71],"without":[72,263],"evident":[73],"biliary":[74],"pathology":[75],"on":[76,209,304,360],"imaging":[77],"but":[78,129,321],"surgical":[81],"diagnosis":[82],"secondary":[85],"to":[86,138,278,283,327,343,347,356,366,384],"gallstone.":[88],"This":[89],"highlights":[91],"the":[92,139,146,157,234,240,246,258,268,293,297,305,311,385,390],"diagnostic":[93],"treatment":[95],"challenges":[96],"in":[97,145,156,389,393],"such":[98],"patients.":[99],"Case":[100],"Description/Methods:":[101],"A":[102,148,190,374],"74-year-old":[103],"woman":[104],"pulmonary":[109],"embolism":[110],"cholelithiasis":[112],"presented":[113],"following":[114],"several":[115],"days":[116],"coffee-ground":[120],"emesis,":[121],"jaundice.":[123],"She":[124,134],"endorsed":[125],"loss":[126],"appetite":[128],"denied":[130],"fever":[131],"or":[132],"chills.":[133],"was":[135,203,215,226,254,290],"afebrile,":[136],"tachycardic":[137],"160s,":[140],"SBP":[144],"170s.":[147],"physical":[149],"exam":[150],"revealed":[151],"generalized":[152],"tenderness":[155],"right":[158],"upper":[159],"lower":[161,391],"quadrants,":[162],"no":[164],"audible":[165],"sounds.":[167],"Labs":[168],"showed":[169,379],"leukocytosis":[170,282],"mild":[172],"anemia,":[173],"total":[174],"bilirubin":[175,179],"17.9,":[177],"direct":[178],"9.6,":[181],"BUN/creatinine":[183],"155/2":[185],"(no":[186],"baseline":[187],"for":[188,217,363],"comparison).":[189],"CT":[191],"abdomen/pelvis":[192],"suggested":[193],"possible":[195],"SBO,":[196],"indicative":[197],"gallstone":[199,382],"ileus.":[200],"The":[201,301],"given":[204],"intravenous":[205],"fluids":[206],"started":[208],"broad-spectrum":[210],"antibiotics.":[211],"An":[212,223],"NG":[213],"tube":[214],"inserted":[216],"decompression,":[218],"yielding":[219],"minimal":[220],"brownish":[221],"fluid.":[222],"exploratory":[224],"laparotomy":[225],"performed,":[227],"showing":[228],"walled-off":[230],"dual":[231],"perforation":[232],"50":[237],"cm":[238,250],"from":[239,276],"ligament":[241],"Treitz":[243],"caused":[244],"obstructing":[247],"stone.":[248],"30":[249],"resected":[255],"along":[256],"stone,":[259],"followed":[260],"anastomosis":[262],"any":[264],"immediate":[265],"complications.":[266],"Postoperatively,":[267],"became":[270],"hypotensive":[271],"hemoglobin":[274],"drop":[275],"11":[277],"7.5":[279],"g/dL":[280],"38":[284],"K/uL.":[285],"No":[286],"active":[287],"clinical":[288,341],"bleeding":[289],"present.":[291],"Despite":[292],"administration":[294],"pressor,":[296],"patient's":[298],"deteriorated.":[300],"family":[302],"decided":[303],"withdrawal":[306],"care,":[308],"subsequently,":[310],"passed":[313],"away.":[314],"Discussion:":[315],"an":[319],"uncommon":[320],"serious":[322],"that":[324],"can":[325],"lead":[326],"perforation,":[329],"peritonitis,":[330],"subsequent":[332],"septic":[333],"shock.":[334],"Gastroenterologists":[335],"should":[336],"familiarize":[337],"themselves":[338],"this":[340,349],"entity":[342],"recognize":[344],"intervene":[346],"prevent":[348],"life-threatening":[350],"Further":[352],"research":[353],"needed":[355],"determine":[357],"standardized":[358],"guidelines":[359],"revised":[361],"indications":[362],"prophylactic":[364],"cholecystectomy":[365],"avert":[367],"bad":[368],"outcomes":[369],"(see":[370],"Figure":[371],"1).Figure":[372],"1.:":[373],"prior":[375],"scan":[378],"calcified":[381],"similar":[383],"one":[386],"now":[387],"located":[388],"pelvis":[392],"repeat":[394],"imaging.":[395]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-09-24T07:57:37.273135","created_date":"2024-10-25T00:00:00"}