Evidence map›Paper›PMID 29769190›Full record

ArticleBMJ case reports2018

Pneumoperitoneum in a neonate weighing less than 500 g. What do we really know about it?

Audrienne Sammut, Miguel Soares Oliveira, Claire Jackson, Cristine Sortica da Costa

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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

4 authors at 1 institution in 2 countries.

Audrienne SammutNeonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
Miguel Soares OliveiraNeonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
Claire JacksonNeonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
Cristine Sortica da CostaNeonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
Addenbrooke's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumoperitoneum in preterm infants is a surgical emergency as it is usually indicative of intestinal perforation. Rare cases of idiopathic pneumoperitoneum have been described in the literature, the underlying causes and pathophysiology of which remain uncertain. We present a case of pneumoperitoneum in an extremely preterm infant with severe growth restriction. This occurred while she was receiving high frequency oscillatory ventilation. She had respiratory distress syndrome with pulmonary interstitial emphysema. The pneumoperitoneum occurred in isolation. Despite the insertion of two surgical drains and two exploratory laparotomies in which no obvious intestinal perforation was noted, the free air in the abdomen reaccumulated. A decision was made to manage it conservatively. She was successfully extubated on the fourth week of life and the pneumoperitoneum resolved spontaneously. She was discharged home on day 136 of life. This case highlights our limited understanding of the intricate physiology of extremely low birthweight preterm neonates.

Indexed as

Infant, Extremely Low Birth WeightAcute Kidney InjuryFemaleGestational AgeHigh-Frequency VentilationHumansInfant, Extremely PrematureInfant, NewbornNeonatal SepsisPneumoperitoneumRespiratory Distress Syndrome, Newbornmechanical ventilationneonatal intensive carepaediatrics

Identifiers

PMID29769190
PMCPMC5965811
OpenAlexW2803436913

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.