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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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.009
Threshold uncertainty score0.030

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.006
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0020.002
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0040.003
Insufficient payload (model declined to judge)0.0090.002

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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
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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