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Record W4413106858 · doi:10.1186/s12245-025-00954-9

A complex case of acute abdomen

2025· article· en· W4413106858 on OpenAlexaff
Mohammed K Alageel

Bibliographic record

VenueInternational Journal of Emergency Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicAppendicitis Diagnosis and Management
Canadian institutionsUniversity of British ColumbiaUniversity of British Columbia Hospital
Fundersnot available
KeywordsMedicineAngiologyGeneral surgeryAbdomenAcute abdomenRadiologyInternal medicine

Abstract

fetched live from OpenAlex

INTRODUCTION: Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with underlying chronic gastrointestinal diseases. CASE REPORT: A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed with appendectomy and lavage. CONCLUSION: This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in patients with Crohn’s disease and anatomic variations such as intestinal malrotation.

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 distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.208
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0060.000

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.

Opus teacher head0.061
GPT teacher head0.432
Teacher spread0.371 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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