{"id":"https://openalex.org/W7140111022","doi":"https://doi.org/10.1093/omcr/omag014","title":"Atypical presentation of celiac disease with ascites and hypoalbuminemia mimicking malignancy","display_name":"Atypical presentation of celiac disease with ascites and hypoalbuminemia mimicking malignancy","publication_year":2026,"publication_date":"2026-03-01","ids":{"openalex":"https://openalex.org/W7140111022","doi":"https://doi.org/10.1093/omcr/omag014","pmid":"https://pubmed.ncbi.nlm.nih.gov/41878600","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13007858"},"language":"en","primary_location":{"id":"doi:10.1093/omcr/omag014","doi":"https://doi.org/10.1093/omcr/omag014","is_oa":true,"landing_page_url":"https://doi.org/10.1093/omcr/omag014","pdf_url":null,"source":{"id":"https://openalex.org/S2734620550","display_name":"Oxford Medical Case Reports","issn_l":"2053-8855","issn":["2053-8855"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford Medical Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/omcr/omag014","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067235900","display_name":"Salma El Aouadi","orcid":"https://orcid.org/0009-0005-3896-9508","observed_orcids":["https://orcid.org/0009-0005-3896-9508"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":true,"raw_author_name":"Salma El Aouadi","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":"https://orcid.org/0009-0005-3896-9508","affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077880846","display_name":"Basma Dghoughi","orcid":"https://orcid.org/0009-0004-7050-8181","observed_orcids":["https://orcid.org/0009-0004-7050-8181"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Basma Dghoughi","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":"https://orcid.org/0009-0004-7050-8181","affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115068854","display_name":"Soukaina Bahha","orcid":"https://orcid.org/0009-0007-9343-0999","observed_orcids":["https://orcid.org/0009-0007-9343-0999"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Soukaina Bahha","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5126079990","display_name":"Ouaim Taibi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Ouaim Taibi","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":"https://orcid.org/0009-0005-5675-1035","affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116414010","display_name":"Hajar Oubella","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Hajar Oubella","raw_affiliation_strings":["Gastroenterology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gastroenterology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034565718","display_name":"Ola Messaoud","orcid":"https://orcid.org/0000-0002-2798-1633","observed_orcids":["https://orcid.org/0000-0002-2798-1633"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Ola Messaoud","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061795210","display_name":"Omar El Aoufir","orcid":"https://orcid.org/0000-0003-0662-2647","observed_orcids":["https://orcid.org/0000-0003-0662-2647"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Omar El Aoufir","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114037162","display_name":"L. Jroundi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Laila Jroundi","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002911135","display_name":"Zaynab Iraqi Houssaini","orcid":"https://orcid.org/0000-0002-7142-8210","observed_orcids":["https://orcid.org/0000-0002-7142-8210"]},"institutions":[{"id":"https://openalex.org/I126477371","display_name":"Mohammed V University","ror":"https://ror.org/00r8w8f84","country_code":"MA","type":"education","lineage":["https://openalex.org/I126477371"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Zaynab Iraqi Houssaini","raw_affiliation_strings":["Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Radiology Department, Ibn Sina University Hospital, Mohammed V University , Souissi District, Rabat 10000, Rabat-Sal\u00e9-K\u00e9nitra Region ,","institution_ids":["https://openalex.org/I126477371"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5067235900"],"corresponding_institution_ids":["https://openalex.org/I126477371"],"apc_list":{"value":1103,"currency":"USD","value_usd":1103},"apc_paid":{"value":1103,"currency":"USD","value_usd":1103},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"3","first_page":"omag014","last_page":"omag014"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11348","display_name":"Celiac Disease Research and Management","score":1.0,"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/T11348","display_name":"Celiac Disease Research and Management","score":1.0,"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/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.0,"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/T12538","display_name":"Eosinophilic Esophagitis","score":0.0,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/celiac-disease","display_name":"celiac disease","score":0.9890000224113464},{"id":"https://openalex.org/keywords/atypical-presentation","display_name":"atypical presentation","score":0.8360000252723694},{"id":"https://openalex.org/keywords/ascites","display_name":"ascites","score":0.9819999933242798},{"id":"https://openalex.org/keywords/hypoalbuminemia","display_name":"hypoalbuminemia","score":0.9980000257492065},{"id":"https://openalex.org/keywords/anasarca","display_name":"anasarca","score":0.9350000023841858},{"id":"https://openalex.org/keywords/ca125","display_name":"CA125","score":0.9769999980926514},{"id":"https://openalex.org/keywords/mesenteric-lymphadenopathy","display_name":"mesenteric lymphadenopathy","score":0.9679999947547913},{"id":"https://openalex.org/keywords/extraintestinal-manifestations","display_name":"extraintestinal manifestations","score":0.8029999732971191},{"id":"https://openalex.org/keywords/differential-diagnosis-of-malignancy","display_name":"differential diagnosis of malignancy","score":0.7789999842643738},{"id":"https://openalex.org/keywords/serology","display_name":"serology","score":0.5809999704360962},{"id":"https://openalex.org/keywords/small-bowel-biopsy","display_name":"small bowel biopsy","score":0.9900000095367432}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.954800009727478},{"id":"https://openalex.org/C2776009029","wikidata":"https://www.wikidata.org/wiki/Q1640780","display_name":"Hypoalbuminemia","level":2,"score":0.795199990272522},{"id":"https://openalex.org/C2780496750","wikidata":"https://www.wikidata.org/wiki/Q193889","display_name":"Ascites","level":2,"score":0.7699999809265137},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.7087000012397766},{"id":"https://openalex.org/C2779399171","wikidata":"https://www.wikidata.org/wiki/Q1483951","display_name":"Malignancy","level":2,"score":0.7031999826431274},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5999000072479248},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.5752999782562256},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.44850000739097595},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.43389999866485596},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.42010000348091125},{"id":"https://openalex.org/C2778426112","wikidata":"https://www.wikidata.org/wiki/Q3055380","display_name":"Enteropathy","level":3,"score":0.36160001158714294},{"id":"https://openalex.org/C2779802037","wikidata":"https://www.wikidata.org/wiki/Q40878","display_name":"Diarrhea","level":2,"score":0.3422999978065491},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.3001999855041504},{"id":"https://openalex.org/C2779075594","wikidata":"https://www.wikidata.org/wiki/Q8084905","display_name":"Autoimmune disease","level":3,"score":0.29679998755455017},{"id":"https://openalex.org/C45189115","wikidata":"https://www.wikidata.org/wiki/Q502159","display_name":"Serology","level":3,"score":0.2944999933242798},{"id":"https://openalex.org/C2779701055","wikidata":"https://www.wikidata.org/wiki/Q929833","display_name":"Rare disease","level":3,"score":0.29350000619888306},{"id":"https://openalex.org/C2778260677","wikidata":"https://www.wikidata.org/wiki/Q917447","display_name":"Inflammatory bowel disease","level":3,"score":0.2865999937057495},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.2816999852657318},{"id":"https://openalex.org/C2780512811","wikidata":"https://www.wikidata.org/wiki/Q11829360","display_name":"Gastrointestinal tract","level":2,"score":0.2628999948501587},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.25920000672340393},{"id":"https://openalex.org/C2777831738","wikidata":"https://www.wikidata.org/wiki/Q1424612","display_name":"Intussusception (medical disorder)","level":2,"score":0.25459998846054077}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/omcr/omag014","doi":"https://doi.org/10.1093/omcr/omag014","is_oa":true,"landing_page_url":"https://doi.org/10.1093/omcr/omag014","pdf_url":null,"source":{"id":"https://openalex.org/S2734620550","display_name":"Oxford Medical Case Reports","issn_l":"2053-8855","issn":["2053-8855"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford Medical Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13007858","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13007858/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13007858/pdf/omag014.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxf Med Case Reports","raw_type":"Text"},{"id":"pmid:41878600","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41878600","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford medical case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1093/omcr/omag014","doi":"https://doi.org/10.1093/omcr/omag014","is_oa":true,"landing_page_url":"https://doi.org/10.1093/omcr/omag014","pdf_url":null,"source":{"id":"https://openalex.org/S2734620550","display_name":"Oxford Medical Case Reports","issn_l":"2053-8855","issn":["2053-8855"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oxford Medical Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7140111022.pdf","grobid_xml":"https://content.openalex.org/works/W7140111022.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W2170193832","https://openalex.org/W2962821767","https://openalex.org/W3009462188","https://openalex.org/W3033313478","https://openalex.org/W4289011910","https://openalex.org/W4295254648","https://openalex.org/W4313538770","https://openalex.org/W4392798056","https://openalex.org/W4407557023"],"related_works":["https://openalex.org/W3009462188","https://openalex.org/W2794326225","https://openalex.org/W4403720377","https://openalex.org/W1965790872","https://openalex.org/W3174409912","https://openalex.org/W4399544410","https://openalex.org/W2397259636","https://openalex.org/W4298223566","https://openalex.org/W2401908878","https://openalex.org/W4328104178"],"abstract_inverted_index":{"Celiac":[0,89],"disease":[1,32,90],"is":[2],"an":[3,44],"autoimmune":[4],"disorder":[5],"of":[6,30,59,79,86,98],"the":[7,55,76,84,95],"small":[8,70],"intestine":[9],"that":[10],"usually":[11],"presents":[12],"with":[13,34,101],"gastrointestinal":[14],"symptoms;":[15],"however,":[16],"atypical":[17,80],"extraintestinal":[18],"manifestations":[19],"can":[20],"occur,":[21],"making":[22],"diagnosis":[23,63,97],"challenging.":[24],"We":[25],"report":[26],"a":[27],"unique":[28],"case":[29,74],"celiac":[31,60],"presenting":[33],"generalized":[35],"edema,":[36],"ascites,":[37],"and":[38,51,69,82,109],"elevated":[39,102],"CA-125":[40,103],"levels,":[41],"closely":[42],"simulating":[43],"underlying":[45],"malignancy.":[46],"Imaging":[47],"revealed":[48],"diffuse":[49],"ascites":[50,100],"mesenteric":[52],"lymphadenopathy":[53],"without":[54],"typical":[56],"intestinal":[57],"features":[58],"disease.":[61],"The":[62],"was":[64],"ultimately":[65],"confirmed":[66],"by":[67],"serology":[68],"bowel":[71],"biopsy.":[72],"This":[73],"underscores":[75],"diagnostic":[77],"challenge":[78],"presentations":[81],"highlights":[83],"importance":[85],"early":[87],"recognition.":[88],"should":[91],"be":[92],"considered":[93],"in":[94],"differential":[96],"unexplained":[99],"to":[104],"avoid":[105],"unnecessary":[106],"oncologic":[107],"workup":[108],"delayed":[110],"treatment.":[111]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-03-24T00:00:00"}
