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T1 Age 2 13 62-year-old T2 Sex 14 20 female T3 Clinical_event 21 30 presented E1 Clinical_event:T3 T4 Nonbiological_location 38 59 outpatient department T5 Nonbiological_location 63 111 Wuhan Central Hospital of Tongji Medical College R1 MODIFY Arg1:T5 Arg2:T4 R2 MODIFY Arg1:T4 Arg2:E1 T6 Date 115 129 September 2015 E2 Date:T6 T7 Disease_disorder 159 169 infections E3 Disease_disorder:T7 T8 Detailed_description 149 158 recurrent R3 MODIFY Arg1:T8 Arg2:E3 T9 Biological_structure 177 193 umbilical region R4 MODIFY Arg1:T9 Arg2:E3 T10 Sign_symptom 218 222 pain E4 Sign_symptom:T10 T11 Biological_structure 208 217 abdominal R5 MODIFY Arg1:T11 Arg2:E4 T13 Activity 275 301 discharge of faecal matter E6 Activity:T13 T12 Detailed_description 236 253 burning sensation R6 MODIFY Arg1:T12 Arg2:E4 R7 CAUSE Arg1:E6 Arg2:E4 T14 Duration 348 365 lasted for 5years E5 Duration:T14 T15 Coreference 309 327 symptoms and signs E7 Coreference:T15 R8 IDENTICAL Arg1:E7 Arg2:E4 T16 Frequency 328 343 waxed and waned R9 MODIFY Arg1:T16 Arg2:E7 T17 Sign_symptom 517 526 diarrhoea E8 Sign_symptom:T17 A1 POLARITY E8 NEG T18 Sign_symptom 528 540 constipation E9 Sign_symptom:T18 A2 POLARITY E9 NEG T19 Sign_symptom 544 572 other abdominal disturbances E10 Sign_symptom:T19 A3 POLARITY E10 NEG T20 History 503 572 no history of diarrhoea, constipation or other abdominal disturbances T21 History 574 595 No surgical treatment T22 Therapeutic_procedure 577 595 surgical treatment E11 Therapeutic_procedure:T22 A4 POLARITY E11 NEG T23 Diagnostic_procedure 653 673 physical examination E12 Diagnostic_procedure:T23 T24 History 473 485 cried easily T25 Disease_disorder 1326 1329 ECF E13 Disease_disorder:T25 #1 AnnotatorNotes E13 enterocutaneous fistula T26 Disease_disorder 2882 2898 Richter’s hernia E14 Disease_disorder:T26 T27 Qualitative_concept 683 689 normal T28 Diagnostic_procedure 690 701 vital signs E15 Diagnostic_procedure:T28 R10 MODIFY Arg1:T27 Arg2:E15 R11 SUB_PROCEDURE Arg1:E15 Arg2:E12 T29 Sign_symptom 715 722 fistula E16 Sign_symptom:T29 T30 Detailed_description 706 714 external R12 MODIFY Arg1:T30 Arg2:E16 T31 Biological_structure 742 758 umbilical region R13 MODIFY Arg1:T31 Arg2:E16 T32 Sign_symptom 764 771 redness E17 Sign_symptom:T32 T33 Biological_structure 791 795 skin R14 MODIFY Arg1:T33 Arg2:E17 T34 Diagnostic_procedure 797 822 Morphological examination E18 Diagnostic_procedure:T34 T35 Sign_symptom 838 856 fistula secretions E19 Sign_symptom:T35 T36 Detailed_description 877 899 small intestinal juice R15 MODIFY Arg1:T36 Arg2:E19 T37 Sign_symptom 924 928 soft E20 Sign_symptom:T37 T38 Sign_symptom 938 948 tenderness E21 Sign_symptom:T38 A5 POLARITY E21 NEG T39 Biological_structure 905 919 abdominal wall R16 MODIFY Arg1:T39 Arg2:E20 R17 MODIFY Arg1:T39 Arg2:E21 T40 Diagnostic_procedure 950 962 Bowel sounds E22 Diagnostic_procedure:T40 T41 Lab_value 968 975 regular E23 Lab_value:T41 R18 MODIFY Arg1:E23 Arg2:E22 T42 Disease_disorder 977 993 Escherichia coli E24 Disease_disorder:T42 T43 Disease_disorder 998 1019 Enterococcus faecalis E25 Disease_disorder:T43 T44 Diagnostic_procedure 1059 1066 culture E26 Diagnostic_procedure:T44 T45 Detailed_description 1041 1058 fistula secretion R19 MODIFY Arg1:T45 Arg2:E26 T46 Diagnostic_procedure 1088 1111 laboratory examinations E27 Diagnostic_procedure:T46 T47 Lab_value 1117 1123 normal E28 Lab_value:T47 R20 MODIFY Arg1:E28 Arg2:E27 T48 Diagnostic_procedure 1127 1129 CT E29 Diagnostic_procedure:T48 T49 Biological_structure 1142 1149 abdomen R21 MODIFY Arg1:T49 Arg2:E29 T50 Therapeutic_procedure 2983 2990 surgery E30 Therapeutic_procedure:T50 T51 Date 2969 2982 2 weeks after E31 Date:T51 T52 Clinical_event 2958 2968 discharged E32 Clinical_event:T52 T53 Disease_disorder 3007 3020 complications E33 Disease_disorder:T53 A6 POLARITY E33 NEG T54 Sign_symptom 1196 1203 adhered E34 Sign_symptom:T54 T55 Biological_structure 1176 1191 intestinal wall T56 Biological_structure 1211 1225 abdominal wall R22 MODIFY Arg1:T55 Arg2:E34 R23 MODIFY Arg1:T56 Arg2:E34 T57 Biological_structure 1233 1245 navel region R24 MODIFY Arg1:T57 Arg2:E34 T58 Sign_symptom 1265 1276 obstruction E35 Sign_symptom:T58 A7 POLARITY E35 NEG T59 Biological_structure 1259 1264 bowel R25 MODIFY Arg1:T59 Arg2:E35 T60 Diagnostic_procedure 1386 1397 radiography E36 Diagnostic_procedure:T60 T61 Detailed_description 1378 1385 digital R26 MODIFY Arg1:T61 Arg2:E36 T62 Detailed_description 1437 1470 iopamidol-370 as a contrast agent R27 MODIFY Arg1:T62 Arg2:E36 T63 Medication 1513 1524 anaesthesia E37 Medication:T63 T64 Detailed_description 1507 1512 local R28 MODIFY Arg1:T64 Arg2:E37 T65 Sign_symptom 1613 1622 entrapped E38 Sign_symptom:T65 T66 Biological_structure 1547 1559 distal ileum R29 MODIFY Arg1:T66 Arg2:E38 T67 Distance 1574 1579 40 cm T68 Biological_structure 1589 1608 ileocaecal junction R30 MODIFY Arg1:T67 Arg2:T68 R31 MODIFY Arg1:T68 Arg2:E38 T69 Clinical_event 1676 1701 preoperative conversation E39 Clinical_event:T69 T70 Therapeutic_procedure 1654 1661 surgery E40 Therapeutic_procedure:T70 T71 Therapeutic_procedure 1783 1800 bowel preparation E41 Therapeutic_procedure:T71 T72 Therapeutic_procedure 1838 1848 laparotomy E42 Therapeutic_procedure:T72 T73 Therapeutic_procedure 1886 1893 exposed E43 Therapeutic_procedure:T73 T74 Biological_structure 1854 1870 abdominal cavity R32 MODIFY Arg1:T74 Arg2:E43 T75 Sign_symptom 1996 2005 entrapped E44 Sign_symptom:T75 T76 Biological_structure 1913 1927 terminal ileum R33 MODIFY Arg1:T76 Arg2:E44 T77 Distance 1943 1948 40 cm T78 Biological_structure 1949 1984 proximal to the ileocaecal junction R34 MODIFY Arg1:T77 Arg2:T78 R35 MODIFY Arg1:T78 Arg2:E44 T79 Biological_structure 2013 2033 internal hernia ring R36 MODIFY Arg1:T79 Arg2:E44 T80 Sign_symptom 2105 2111 defect E45 Sign_symptom:T80 T81 Biological_structure 2119 2133 abdominal wall R37 MODIFY Arg1:T81 Arg2:E45 T82 Distance 2138 2154 less than 1.0 cm R38 MODIFY Arg1:T82 Arg2:E45 T83 Sign_symptom 2209 2214 stuck E46 Sign_symptom:T83 T84 Biological_structure 2194 2204 bowel wall R39 MODIFY Arg1:T84 Arg2:E46 T85 Disease_disorder 2309 2320 perforation E47 Disease_disorder:T85 T86 Coreference 2290 2296 defect E48 Coreference:T86 R40 IDENTICAL Arg1:E48 Arg2:E45 R41 CAUSE Arg1:E48 Arg2:E47 T87 Therapeutic_procedure 2368 2379 anastomosis E49 Therapeutic_procedure:T87 T88 Detailed_description 2357 2367 ileo-ileal T89 Detailed_description 2344 2356 Side-to-side R42 MODIFY Arg1:T88 Arg2:E49 R43 MODIFY Arg1:T89 Arg2:E49 T90 Distance 2409 2414 75 mm T91 Therapeutic_procedure 2415 2429 linear stapler E50 Therapeutic_procedure:T91 R44 SUB_PROCEDURE Arg1:E50 Arg2:E49 R45 MODIFY Arg1:T90 Arg2:E50 T92 Therapeutic_procedure 2433 2439 remove E51 Therapeutic_procedure:T92 T93 Biological_structure 2453 2466 ileum segment R46 MODIFY Arg1:T93 Arg2:E51 R47 SUB_PROCEDURE Arg1:E51 Arg2:E49 T94 Therapeutic_procedure 2497 2503 closed E52 Therapeutic_procedure:T94 T95 Therapeutic_procedure 2519 2526 sutures E53 Therapeutic_procedure:T95 T96 Detailed_description 2509 2518 plication R48 MODIFY Arg1:T96 Arg2:E53 T97 Therapeutic_procedure 2644 2651 cleaned E54 Therapeutic_procedure:T97 T98 Medication 2657 2672 saline solution E55 Medication:T98 R49 SUB_PROCEDURE Arg1:E55 Arg2:E54 T99 Therapeutic_procedure 2687 2700 drainage tube E56 Therapeutic_procedure:T99 T100 Biological_structure 2719 2725 pelvis R50 MODIFY Arg1:T100 Arg2:E56 T101 Detailed_description 2680 2686 rubber R51 MODIFY Arg1:T101 Arg2:E56 T102 Therapeutic_procedure 2747 2754 removed E57 Therapeutic_procedure:T102 T103 Biological_structure 2731 2742 scar tissue R52 MODIFY Arg1:T103 Arg2:E57 T104 Therapeutic_procedure 2806 2813 sutures E58 Therapeutic_procedure:T104 T105 Detailed_description 2795 2805 relaxation R53 MODIFY Arg1:T105 Arg2:E58 A8 POLARITY E13 MAYBE_POS T106 Disease_disorder 2925 2928 ECF E59 Disease_disorder:T106 A9 POLARITY E59 NEG T107 Detailed_description 2913 2924 spontaneous R54 MODIFY Arg1:T107 Arg2:E59 T108 Biological_structure 2472 2492 internal hernia ring R55 MODIFY Arg1:T108 Arg2:E52 T109 Disease_disorder 3025 3031 hernia E60 Disease_disorder:T109 A10 POLARITY E60 NEG T110 Duration 3063 3072 10 months E61 Duration:T110 T111 Clinical_event 3076 3085 follow-up E62 Clinical_event:T111 * OVERLAP E1 E2 E3 R56 AFTER Arg1:E3 Arg2:E4 * OVERLAP E4 E6 E7 E5 E8 E9 E10 E11 R57 BEFORE Arg1:E11 Arg2:E12 * OVERLAP E12 E16 E17 E18 E19 E20 E21 E22 E24 E25 E26 E27 E29 E34 E35 R58 BEFORE Arg1:E35 Arg2:E13 * OVERLAP E13 E36 E37 E38 R59 BEFORE Arg1:E38 Arg2:E40 R60 AFTER Arg1:E40 Arg2:E39 R61 BEFORE Arg1:E39 Arg2:E41 R62 BEFORE Arg1:E41 Arg2:E42 * OVERLAP E42 E43 E44 E45 E46 E48 E49 E52 E53 R63 BEFORE Arg1:E53 Arg2:E54 * OVERLAP E54 E56 E57 E58 R64 BEFORE Arg1:E58 Arg2:E14 * OVERLAP E14 E59 R65 BEFORE Arg1:E59 Arg2:E32 * OVERLAP E32 E31 R66 AFTER Arg1:E31 Arg2:E30 R67 BEFORE Arg1:E30 Arg2:E33 R68 BEFORE Arg1:E33 Arg2:E60 * OVERLAP E60 E61 E62