Evidence map›Paper›PMID 19347348›Full record

ArticleInternational journal of legal medicine2009

Forensic application of ESEM and XRF-EDS techniques to a fatal case of sodium phosphate enema intoxication.

G Viel, G Cecchetto, L D Fabbri, C Furlan, S D Ferrara, M Montisci

Abstract readCase Reports
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In one paragraph

Article in International journal of legal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Review
  3. Micro-CT features of intermediate gunshot wounds covered by textiles.International journal of legal medicine · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

G VielDepartment of Environmental Medicine and Public Health-Legal Medicine, Via Falloppio 50, 35121 Padova, Italy. guido_viel@yahoo.it
G Cecchetto
L D Fabbri
C Furlan
S D Ferrara
M Montisci
University of Padua · ITUnited States Nuclear Regulatory Commission · USYahoo (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sodium phosphate enemas and laxatives are widely used for the treatment of constipation, even if a number of cases of significant toxicity due to alterations of the fluid and electrolyte equilibria (hypernatremia, hyperphosphatemia, and hypocalcemia) have been reported. We present the case of an 83-year-old man who died of fecal and chemical peritonitis secondary to an iatrogenic colon perforation (produced performing a Fleet enema through the patient's iliac colostomy) with peritoneal absorption of sodium phosphate. Environmental scanning electron microscopy coupled with an X-ray fluorescence energy dispersive spectrometry discovered multiple bright crystals formed of calcium, phosphorus, and oxygen in the brain, heart, lung, and kidney sections of the victim. The absence of these kinds of precipitates in two control samples chronically treated with Fleet enemas led us to assume that the deceased had adsorbed a great quantity of phosphorus ions from the peritoneal cavity with subsequent systemic dissemination and precipitation of calcium phosphate bindings.

Indexed as

Microscopy, Electron, ScanningSpectrometry, X-Ray EmissionAged, 80 and overBrainCalciumCatharticsColonCrystallizationEnemaForensic PathologyHumansIatrogenic DiseaseIntestinal PerforationKidneyLungMaleCalciumCatharticsOxygenPhosphatesPhosphorussodium phosphate

Identifiers

PMID19347348
OpenAlexW2012144648

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.