Recurrent Vomiting and Epigastric Pain Attacks in an Adult Patient With Colonic Malrotation
Bibliographic record
Abstract
Intestinal malrotation occurs when there is a disruption of normal embryological development of bowel. Recurrent abdominal pain due to bowel obstruction associated with adhesions is the most common clinical presentation. The majority of patients present with clinical findings in childhood. Its diagnosis is mainly based on radiologic imaging methods. Surgery is the treatment of choice for these patients. The success of treatment and prevention of complications depends on an accurate diagnosis and exact localization of colonic and intestinal anatomy. Herein, we report a 39-year-old man having intermittent attacks of nausea, vomiting and epigastric pain starting from the onset of childhood. His last attack was associated with acute pancreatitis as well. He was diagnosed with colonic malrotation on radiological examinations. Surgical resection of Ladd’s bands was successful in relieving further attacks of bowel obstruction and acute pancreatitis. We discussed this case with a short review of relevant literature. J Med Cases. 2014;5(5):267-269 doi: http://dx.doi.org/10.14740/jmc1742w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".