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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