{
  "abstract": "A 5‐year‐old girl with prior patent ductus arteriosus device closure presented with abdominal pain, vomiting, and fever. Despite a normal leukocyte count and nonvisualization of the appendix on ultrasonography, computed tomography identified perforation. Emergency appendectomy confirmed gangrenous appendicitis. This case underscores the importance of serial examination and timely diagnostic imaging.",
  "abstract_shown": true,
  "affiliations": [
    "Institute of Medicine Tribhuvan University Teaching Hospital, Tribhuvan University Kathmandu Nepal",
    "Department of Surgery Kathmandu University School of Medical Sciences Dhulikhel Nepal",
    "Department of Surgery B&C Medical College Teaching Hospital and Research Center Birtamode Nepal"
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
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      "name": "Iswor Karki",
      "orcid": "0000-0002-1089-2802"
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    {
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      ],
      "name": "Sagar Kumar Jha",
      "orcid": "0009-0004-3927-1016"
    },
    {
      "affs": [
        0
      ],
      "name": "Shankar Poudel",
      "orcid": "0009-0009-4524-2066"
    },
    {
      "affs": [
        0
      ],
      "name": "Sabitra Thapa",
      "orcid": "0000-0001-7184-0769"
    },
    {
      "affs": [
        1
      ],
      "name": "Latika Giri",
      "orcid": "0000-0002-8031-8064"
    },
    {
      "affs": [
        2
      ],
      "name": "K. C. Ajay",
      "orcid": "0000-0002-5912-3705"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dvntxqgk2dss6.bib",
  "cited_by": 0,
  "doi": "10.1002/ccr3.73849",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13725592/?tool=EBI",
  "id": "dvntxqgk2dss6",
  "issns": [
    "2050-0904"
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  "landing_url": "https://europepmc.org/article/PMC/PMC13725592",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
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      "openalex",
      "2711|Appendicitis Diagnosis and Management"
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  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13725592/pdf/?tool=EBI",
  "pmcid": "PMC13725592",
  "pmid": "42973924",
  "published": "2026-11-01",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/dvntxqgk2dss6.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13725592",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13725592"
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      "url": "https://doi.org/10.1002/ccr3.73849"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2711|Appendicitis Diagnosis and Management",
      "subfield": "general"
    }
  ],
  "title": "Perforated Gangrenous Appendicitis Despite a Normal Leukocyte Count and Nondiagnostic Ultrasonography in a 5‐Year‐Old Child A Case Report",
  "title_text": "Perforated Gangrenous Appendicitis Despite a Normal Leukocyte Count and Nondiagnostic Ultrasonography in a 5‐Year‐Old Child A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:21:47Z",
  "url": "https://research.draconitic.com/paper/dvntxqgk2dss6",
  "venue": "Clinical case reports",
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}