Bibliographic record
Abstract
Celiac disease (CD) is a common genetic autoimmune disease, triggered by gluten sensitivity. CD can present at any age in both children and adults after consuming gluten containing diet. Presentation of CD varies widely. There is paucity of data regarding emergency presentation of CD in the literature. Severe abdominal pain and gastric obstructions have been reported, but there are no reports of spontaneous duodenal perforation as of CD presentation. We searched the Mayo Clinic electronic medical records, between 1997 - 2011 for any cases of association between celiac disease and duodenal perforation. We identified two patients (7 yo M, 31 yo F). First patient presented with gastric obstruction due to duodenal perforation. Gastroduodenostomy was performed and elevated celiac serology few years after his initial presentation lead to the diagnosis of CD. Second patient had sudden acute RUQ abdominal pain and was found to have sign of visceral perforation on abdominal CT. Evaluation for anemia and rectal bleeding few years later showed positive CD markers that was confirmed by histology. Spontaneous duodenal perforation can be the presenting sign of CD. Celiac serology testing may be considered in patients presenting with spontaneous duodenal perforation. J Med Cases. 2013;4(2):109-113 doi: https://doi.org/10.4021/jmc1006e
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".