{"id":"https://openalex.org/W4403720420","doi":"https://doi.org/10.14309/01.ajg.0001049036.75598.52","title":"S4917 My Gut Hurts: Thrombotic Microangiopathy or Pheochromocytoma?","display_name":"S4917 My Gut Hurts: Thrombotic Microangiopathy or Pheochromocytoma?","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403720420","doi":"https://doi.org/10.14309/01.ajg.0001049036.75598.52"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001049036.75598.52","doi":"https://doi.org/10.14309/01.ajg.0001049036.75598.52","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049036.75598.52","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/A5109322980","display_name":"Ahmad Mardini","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ahmad Mardini","raw_affiliation_strings":["Presenter"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Presenter","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109724497","display_name":"Suyashi Singh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Suyashi Singh","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110507424","display_name":"Krishna Shah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Krishna Shah","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026196974","display_name":"Malik Waseem Ahmad","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Malik Waseem Ahmad","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005912071","display_name":"I. Sadaf Farooqi","orcid":"https://orcid.org/0000-0001-7609-3504","observed_orcids":["https://orcid.org/0000-0001-7609-3504"]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samee Farooqi","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114391358","display_name":"Matthew Posen","orcid":"https://orcid.org/0009-0000-5050-6331","observed_orcids":["https://orcid.org/0009-0000-5050-6331"]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Posen","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114087476","display_name":"MANUEL PAREDES FLORES","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Manuel Paredes Flores","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114117619","display_name":"Faizan Rahim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Faizan Rahim","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092988789","display_name":"VALENTINA TURBAY CABALLERO","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Valentina Turbay-Caballero","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Harreth Raddawi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harreth Raddawi","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090849592","display_name":"Joumana T. Chaiban","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210148367","display_name":"Advocate Christ Medical Center","ror":"https://ror.org/04gw0wg65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088488","https://openalex.org/I4210148367"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joumana Chaiban","raw_affiliation_strings":["Advocate Christ Medical Center, Oak Lawn, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advocate Christ Medical Center, Oak Lawn, IL","institution_ids":["https://openalex.org/I4210148367"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5109322980"],"corresponding_institution_ids":[],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S3098","last_page":"S3098"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.5878999829292297,"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"}},"topics":[{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":0.5878999829292297,"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/T10993","display_name":"Complement system in diseases","score":0.12300000339746475,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.026599999517202377,"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/thrombotic-microangiopathy","display_name":"thrombotic microangiopathy","score":0.9869999885559082},{"id":"https://openalex.org/keywords/malignant-hypertension","display_name":"malignant hypertension","score":0.7680000066757202},{"id":"https://openalex.org/keywords/pheochromocytoma","display_name":"pheochromocytoma","score":0.8740000128746033},{"id":"https://openalex.org/keywords/hypertensive-emergency","display_name":"hypertensive emergency","score":0.6269999742507935},{"id":"https://openalex.org/keywords/kidney-injury","display_name":"kidney injury","score":0.6520000100135803},{"id":"https://openalex.org/keywords/catecholamines","display_name":"catecholamines","score":0.7620000243186951},{"id":"https://openalex.org/keywords/renin-angiotensin-aldosterone-system","display_name":"renin-angiotensin-aldosterone system","score":0.8309999704360962},{"id":"https://openalex.org/keywords/pressure-natriuresis","display_name":"pressure natriuresis","score":0.7739999890327454},{"id":"https://openalex.org/keywords/dotatate-pet-ct","display_name":"DOTATATE PET/CT","score":0.6890000104904175},{"id":"https://openalex.org/keywords/adamts13","display_name":"ADAMTS13","score":0.7519999742507935},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.6600000262260437},{"id":"https://openalex.org/keywords/medication-non-adherence","display_name":"medication non-adherence","score":0.6840000152587891},{"id":"https://openalex.org/keywords/pancytopenia","display_name":"pancytopenia","score":0.6970000267028809},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.32199999690055847}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9486581087112427},{"id":"https://openalex.org/C2777878052","wikidata":"https://www.wikidata.org/wiki/Q3312044","display_name":"Thrombotic microangiopathy","level":3,"score":0.9281063675880432},{"id":"https://openalex.org/C2779512018","wikidata":"https://www.wikidata.org/wiki/Q536269","display_name":"Pheochromocytoma","level":2,"score":0.8397815823554993},{"id":"https://openalex.org/C2776513394","wikidata":"https://www.wikidata.org/wiki/Q1412400","display_name":"Microangiopathy","level":3,"score":0.5928694009780884},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3554536700248718},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3378851115703583},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.22990545630455017},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.0816059410572052},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001049036.75598.52","doi":"https://doi.org/10.14309/01.ajg.0001049036.75598.52","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001049036.75598.52","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":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4396999125","https://openalex.org/W2621597139","https://openalex.org/W4415263087","https://openalex.org/W4416870714","https://openalex.org/W2516796516","https://openalex.org/W2551281571","https://openalex.org/W2889383444","https://openalex.org/W2559957593","https://openalex.org/W2732321918","https://openalex.org/W1500048365"],"abstract_inverted_index":{"Introduction:":[0],"Thrombotic":[1,224],"microangiopathy":[2,31,225],"is":[3],"a":[4,40,168,204],"consequence":[5],"of":[6,42,133,150,159,324],"microvascular":[7],"obstruction":[8],"due":[9],"to":[10,63,209,241,313],"platelet":[11],"aggregation,":[12],"endothelial":[13],"injury":[14],"and":[15,32,49,68,77,102,117,120,138,143,155,179,187,214,231,255,260,265,271,284],"vessel":[16],"wall":[17],"thickening.":[18],"Presentation":[19],"depends":[20],"on":[21,92,281],"the":[22,85,134,151,160,251,304],"organs":[23],"affected.":[24],"Malignant":[25,234],"hypertension":[26,235,270],"can":[27,226,236,310],"present":[28,39,227],"as":[29,228,248],"thrombotic":[30,45],"warrants":[33],"testing":[34],"for":[35,220],"secondary":[36],"causes.":[37],"We":[38],"case":[41,302],"severe":[43],"hypertensive":[44,229],"microangiopathy,":[46],"elevated":[47,96,253,272],"catecholamines":[48,273],"negative":[50,107,219],"positron":[51],"emission":[52],"tomography/computed":[53],"tomography":[54,149,283],"DOTATATE":[55,216,288,325],"scan.":[56],"Case":[57],"Description/Methods:":[58],"A":[59],"37-year-old":[60],"man":[61],"known":[62],"have":[64,291],"hypertension,":[65],"medication":[66],"nonadherence":[67],"chronic":[69],"kidney":[70,232],"disease":[71],"presented":[72],"with":[73,167,203],"abdominal":[74,141],"pain,":[75],"vomiting":[76],"diarrhea.":[78],"He":[79,194],"had":[80],"several":[81],"such":[82],"admissions":[83],"in":[84],"past.":[86],"His":[87],"blood":[88],"pressure":[89,199,238,258],"was":[90,176,201,218],">200s/100s":[91],"arrival.":[93],"Labs":[94],"showed:":[95],"creatine,":[97],"total":[98],"bilirubin,":[99],"lactate":[100],"dehydrogenase":[101],"troponins,":[103],"hypokalemia,":[104],"pancytopenia,":[105],"reticulocytosis,":[106],"direct":[108],"antiglobulin":[109],"test,":[110],"normal":[111],"prothrombin":[112],"time,":[113],"partial":[114],"thromboplastin":[115],"time":[116],"fibrinogen.":[118],"Electrocardiogram":[119],"echocardiogram":[121],"showed":[122,128],"left":[123],"ventricle":[124],"hypertrophy.":[125],"Renal":[126],"ultrasound":[127],"medicorenal":[129],"disease.":[130],"Duplex":[131],"ultrasounds":[132],"superior":[135],"mesenteric,":[136],"celiac,":[137],"renal":[139],"arteries,":[140],"aorta":[142],"iliac":[144],"artery":[145],"were":[146,164,181,189],"negative.":[147,165],"Computerized":[148],"abdomen/pelvis":[152],"without":[153],"contrast":[154,163],"magnetic":[156,285],"resonance":[157,286],"imaging":[158,308],"abdomen":[161],"with/without":[162],"Disintegrin/metalloproteinase":[166],"thrombospondin":[169],"type":[170],"1":[171],"motif,":[172],"member":[173],"13":[174],"(ADAMTS13)":[175],"normal.":[177,193],"Renin":[178],"aldosterone":[180],"high.":[182],"24":[183],"hour":[184],"urine":[185],"metanephrine":[186],"normetanephrine":[188],">2-3":[190],"times":[191],"above":[192],"received":[195],"intravenous":[196],"hydration.":[197],"Blood":[198,257],"control":[200,259],"achieved":[202],"nicardipine":[205],"drip":[206],"then":[207,244],"transition":[208],"home":[210],"carvedilol,":[211],"nifedipine,":[212],"clonidine":[213],"hydralazine.":[215],"scan":[217],"neuroendocrine":[221,299,327],"tumors.":[222,300],"Discussion:":[223],"emergency":[230],"injury.":[233],"cause":[237],"natriuresis":[239],"leading":[240],"volume":[242],"depletion":[243],"compensatory":[245],"renin-angiotensin-aldosterone-system":[246],"activation,":[247],"evidenced":[249],"by":[250],"patient's":[252],"renin":[254],"aldosterone.":[256],"rehydration":[261],"resolved":[262],"his":[263,267],"symptoms":[264],"normalized":[266],"labs.":[268],"Severe":[269],"suggest":[274],"pheochromocytoma.":[275],"Neuroendocrine":[276],"tumors":[277],"may":[278,297],"not":[279],"show":[280],"Computed":[282],"imaging.":[287],"scans":[289],"usually":[290],"higher":[292],"sensitivity":[293],"but":[294],"very":[295],"rarely":[296],"miss":[298],"This":[301],"poses":[303],"question":[305],"if":[306],"other":[307],"studies":[309],"be":[311],"developed":[312],"better":[314],"identify":[315],"them":[316],"(see":[317],"Figure":[318],"1).Figure":[319],"1.:":[320],"No":[321],"scintigraphic":[322],"evidence":[323],"avid":[326],"malignancy.":[328]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2024-10-25T00:00:00"}