{"id":"https://openalex.org/W7208829506","doi":"https://doi.org/10.2147/imcrj.s634443","title":"Lithopedion Following Presumed Primary Abdominal Pregnancy in a 42-Year-Old Woman from Somaliland: A Case Report and Literature Review","display_name":"Lithopedion Following Presumed Primary Abdominal Pregnancy in a 42-Year-Old Woman from Somaliland: A Case Report and Literature Review","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7208829506","doi":"https://doi.org/10.2147/imcrj.s634443","pmid":"https://pubmed.ncbi.nlm.nih.gov/42725020","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13559882"},"language":"en","primary_location":{"id":"doi:10.2147/imcrj.s634443","doi":"https://doi.org/10.2147/imcrj.s634443","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s634443","pdf_url":"https://www.dovepress.com/article/download/119290","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","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://www.dovepress.com/article/download/119290","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5140322659","display_name":"Abdisamed Mohamoud H Ali","orcid":"https://orcid.org/0009-0007-3535-1555","observed_orcids":["https://orcid.org/0009-0007-3535-1555"]},"institutions":[{"id":"https://openalex.org/I3129592236","display_name":"Amoud University","ror":"https://ror.org/034a2ss16","country_code":"SO","type":"education","lineage":["https://openalex.org/I3129592236"]}],"countries":["SO"],"is_corresponding":true,"raw_author_name":"Abdisamed Mohamoud H Ali","raw_affiliation_strings":["Emergency Department, Hargeisa Group Hospital, Hargeisa, Somaliland","School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland"],"raw_orcid":"https://orcid.org/0009-0007-3535-1555","affiliations":[{"raw_affiliation_string":"Emergency Department, Hargeisa Group Hospital, Hargeisa, Somaliland","institution_ids":[]},{"raw_affiliation_string":"School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland","institution_ids":["https://openalex.org/I3129592236"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150161867","display_name":"Ahmed Osman Mohamed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3129592236","display_name":"Amoud University","ror":"https://ror.org/034a2ss16","country_code":"SO","type":"education","lineage":["https://openalex.org/I3129592236"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Ahmed Osman Mohamed","raw_affiliation_strings":["School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland","institution_ids":["https://openalex.org/I3129592236"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5139044371","display_name":"Khadar Jama Ibrahim","orcid":"https://orcid.org/0009-0005-9028-8216","observed_orcids":["https://orcid.org/0009-0005-9028-8216"]},"institutions":[{"id":"https://openalex.org/I3129592236","display_name":"Amoud University","ror":"https://ror.org/034a2ss16","country_code":"SO","type":"education","lineage":["https://openalex.org/I3129592236"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Khadar Jama Ibrahim","raw_affiliation_strings":["Emergency Department, Hargeisa Group Hospital, Hargeisa, Somaliland","School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland"],"raw_orcid":"https://orcid.org/0009-0005-9028-8216","affiliations":[{"raw_affiliation_string":"Emergency Department, Hargeisa Group Hospital, Hargeisa, Somaliland","institution_ids":[]},{"raw_affiliation_string":"School of Medicine and Surgery, College of Health Sciences, Amoud University, Borama, Somaliland","institution_ids":["https://openalex.org/I3129592236"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5140322659"],"corresponding_institution_ids":["https://openalex.org/I3129592236"],"apc_list":{"value":2320,"currency":"USD","value_usd":2320},"apc_paid":{"value":2320,"currency":"USD","value_usd":2320},"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":"Volume 19","issue":null,"first_page":"1","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.9423999786376953,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"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/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.9423999786376953,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"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/T12183","display_name":"Teratomas and Epidermoid Cysts","score":0.014399999752640724,"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/T11389","display_name":"Maternal and fetal healthcare","score":0.006099999882280827,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"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/lithopedion","display_name":"lithopedion","score":0.9990000128746033},{"id":"https://openalex.org/keywords/abdominal-pregnancy","display_name":"abdominal pregnancy","score":0.8690000176429749},{"id":"https://openalex.org/keywords/exploratory-laparotomy","display_name":"exploratory laparotomy","score":0.8320000171661377},{"id":"https://openalex.org/keywords/surgical-excision","display_name":"surgical excision","score":0.7649999856948853},{"id":"https://openalex.org/keywords/chronic-abdominal-pain","display_name":"chronic abdominal pain","score":0.6209999918937683},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7680000066757202},{"id":"https://openalex.org/keywords/ultrasonography","display_name":"ultrasonography","score":0.5870000123977661}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.972100019454956},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.607200026512146},{"id":"https://openalex.org/C2778966966","wikidata":"https://www.wikidata.org/wiki/Q5421351","display_name":"Exploratory laparotomy","level":2,"score":0.6028000116348267},{"id":"https://openalex.org/C2778521718","wikidata":"https://www.wikidata.org/wiki/Q811134","display_name":"Abdominal pregnancy","level":4,"score":0.5616999864578247},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.5516999959945679},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.532800018787384},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5315999984741211},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.5059999823570251},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5022000074386597},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5009999871253967},{"id":"https://openalex.org/C2777655228","wikidata":"https://www.wikidata.org/wiki/Q590460","display_name":"Abdominal ultrasonography","level":3,"score":0.4738999903202057},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.45350000262260437},{"id":"https://openalex.org/C206179267","wikidata":"https://www.wikidata.org/wiki/Q188952","display_name":"Medical history","level":2,"score":0.4424999952316284},{"id":"https://openalex.org/C2777643690","wikidata":"https://www.wikidata.org/wiki/Q4665122","display_name":"Abdominal mass","level":2,"score":0.43149998784065247},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.40939998626708984},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.4077000021934509},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C2778248108","wikidata":"https://www.wikidata.org/wiki/Q5445","display_name":"Anemia","level":2,"score":0.3720000088214874},{"id":"https://openalex.org/C2780505380","wikidata":"https://www.wikidata.org/wiki/Q7142931","display_name":"Past medical history","level":2,"score":0.34060001373291016},{"id":"https://openalex.org/C2779787475","wikidata":"https://www.wikidata.org/wiki/Q16244733","display_name":"Bowel obstruction","level":2,"score":0.31619998812675476},{"id":"https://openalex.org/C2780343435","wikidata":"https://www.wikidata.org/wiki/Q7247864","display_name":"Products of conception","level":4,"score":0.31299999356269836},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.29409998655319214},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.2906999886035919},{"id":"https://openalex.org/C2992927888","wikidata":"https://www.wikidata.org/wiki/Q424317","display_name":"Acute abdominal pain","level":3,"score":0.28999999165534973},{"id":"https://openalex.org/C2992612897","wikidata":"https://www.wikidata.org/wiki/Q5157358","display_name":"Abdominal computed tomography","level":2,"score":0.2863999903202057},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.2849999964237213},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.28439998626708984},{"id":"https://openalex.org/C2780309369","wikidata":"https://www.wikidata.org/wiki/Q933382","display_name":"Calcification","level":2,"score":0.2728999853134155}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.2147/imcrj.s634443","doi":"https://doi.org/10.2147/imcrj.s634443","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s634443","pdf_url":"https://www.dovepress.com/article/download/119290","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13559882","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13559882/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13559882/pdf/IMCRJ-19-634443.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-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int Med Case Rep J","raw_type":"Text"},{"id":"pmid:42725020","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42725020","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":"International medical case reports journal","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:7b272aa1fde840fcbb21c956744c87bd","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7b272aa1fde840fcbb21c956744c87bd","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"International Medical Case Reports Journal, Vol Volume 19, Iss Issue 1, Pp 1-8 (2026)","raw_type":"article"},{"id":"pmh:oai:dovepress.com/119290","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/lithopedion-following-presumed-primary-abdominal-pregnancy-in-a-42-yea-peer-reviewed-fulltext-article-IMCRJ","pdf_url":null,"source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.2147/imcrj.s634443","doi":"https://doi.org/10.2147/imcrj.s634443","is_oa":true,"landing_page_url":"https://doi.org/10.2147/imcrj.s634443","pdf_url":"https://www.dovepress.com/article/download/119290","source":{"id":"https://openalex.org/S2738884135","display_name":"International Medical Case Reports Journal","issn_l":"1179-142X","issn":["1179-142X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Medical Case Reports Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7208829506.pdf","grobid_xml":"https://content.openalex.org/works/W7208829506.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1587104009","https://openalex.org/W1801194669","https://openalex.org/W2005830826","https://openalex.org/W2020252722","https://openalex.org/W2112175865","https://openalex.org/W3107741625","https://openalex.org/W4281857455","https://openalex.org/W4299693190","https://openalex.org/W4319596196","https://openalex.org/W4323308844","https://openalex.org/W4386175038","https://openalex.org/W4403973469","https://openalex.org/W4404645686","https://openalex.org/W4413961384","https://openalex.org/W4416815299","https://openalex.org/W7118739760"],"related_works":["https://openalex.org/W2502526213","https://openalex.org/W4416815299","https://openalex.org/W7118739760","https://openalex.org/W4382049900","https://openalex.org/W7124829572","https://openalex.org/W2560062472","https://openalex.org/W4298067901","https://openalex.org/W2156877223","https://openalex.org/W7084928075","https://openalex.org/W4411395259"],"abstract_inverted_index":{"Background:":[0],"Lithopedion":[1,203],"is":[2,33,161],"an":[3,75,120],"exceptionally":[4],"rare":[5],"complication":[6],"of":[7,25,59,74,181,198,220],"abdominal":[8,62,66,167,212],"pregnancy":[9,77],"in":[10,20,38,207,253,258,263,267],"which":[11],"a":[12,45,56,70,87,115,131,164,217],"deceased":[13],"fetus":[14,184],"becomes":[15],"calcified":[16,116,133,183],"following":[17],"prolonged":[18],"retention":[19],"the":[21,95,155,158,182,193,239],"maternal":[22],"abdomen.":[23],"Because":[24],"its":[26],"indolent":[27],"course":[28],"and":[29,64,170,192,216,229,241,246],"nonspecific":[30],"symptoms,":[31],"it":[32],"frequently":[34],"diagnosed":[35],"late,":[36],"particularly":[37,230],"resource-limited":[39,268],"settings.":[40,269],"Case":[41],"Presentation:":[42],"We":[43],"report":[44],"42-year-old":[46],"multiparous":[47],"woman":[48],"(gravida":[49],"4,":[50],"para":[51],"3)":[52],"who":[53],"presented":[54],"with":[55,119,127,138,177,210,232],"three-year":[57],"history":[58,72,218],"chronic":[60,211],"lower":[61],"pain":[63],"progressive":[65],"heaviness.":[67],"She":[68],"had":[69],"remote":[71],"suggestive":[73,219],"untreated":[76,222],"that":[78],"spontaneously":[79],"ceased":[80],"without":[81,185],"medical":[82],"evaluation.":[83],"Clinical":[84],"examination":[85],"revealed":[86,100],"firm,":[88],"irregular,":[89],"non-mobile":[90],"abdominopelvic":[91,117],"mass":[92,118],"extending":[93],"to":[94],"umbilical":[96],"level.":[97],"Laboratory":[98],"investigations":[99],"mild":[101],"anemia":[102],"(hemoglobin":[103],"9.0":[104],"g/dL),":[105],"while":[106],"serum":[107],"\u03b2-hCG":[108],"was":[109,190,235],"<5":[110],"mIU/mL":[111],"(negative).":[112],"Ultrasonography":[113],"demonstrated":[114,130,195],"empty":[121],"uterine":[122],"cavity.":[123],"Contrast-enhanced":[124],"computed":[125],"tomography":[126],"three-dimensional":[128,233],"reconstruction":[129],"well-defined":[132],"extrauterine":[134],"fetal":[135],"skeleton":[136],"consistent":[137],"lithopedion.":[139],"Intraoperative":[140],"findings":[141],"met":[142],"Studdiford's":[143],"criteria;":[144],"however,":[145],"because":[146],"these":[147],"criteria":[148],"were":[149],"applied":[150],"retrospectively":[151],"several":[152],"years":[153],"after":[154],"index":[156],"pregnancy,":[157],"underlying":[159],"gestation":[160],"described":[162],"as":[163],"presumed":[165],"primary":[166],"pregnancy.":[168,223],"Management":[169],"Outcome:":[171],"The":[172],"patient":[173,194],"underwent":[174],"exploratory":[175],"laparotomy":[176],"complete":[178,196],"surgical":[179],"excision":[180],"intraoperative":[186],"complications.":[187],"Postoperative":[188],"recovery":[189],"uneventful,":[191],"resolution":[197],"symptoms":[199,215],"at":[200],"follow-up.":[201],"Conclusion:":[202],"should":[204],"be":[205,251],"considered":[206],"women":[208],"presenting":[209],"or":[213],"pelvic":[214],"prior":[221],"In":[224],"this":[225],"patient,":[226],"cross-sectional":[227],"imaging,":[228],"CT":[231],"reconstruction,":[234],"valuable":[236],"for":[237],"characterizing":[238],"lesion":[240],"planning":[242],"surgery,":[243],"although":[244],"ultrasonography":[245],"magnetic":[247],"resonance":[248],"imaging":[249],"may":[250],"sufficient":[252],"other":[254],"circumstances.":[255],"Surgical":[256],"management":[257],"symptomatic":[259],"cases":[260],"can":[261],"result":[262],"excellent":[264],"outcomes":[265],"even":[266]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-09-06T00:00:00"}