Evidence map›Paper›PMID 30634701›Full record

ArticleMedicina (Kaunas, Lithuania)2019

A Case of Isolated Cecal Necrosis Preoperatively Diagnosed with Perforation of Cecum.

Atsushi Kohga, Kiyoshige Yajima, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Kenji Suzuki, Akira Komiyama, Akihiro Kawabe

Abstract readCase Reports
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Isolated Cecal Necrosis as a Cause of Acute Abdomen.Journal of clinical medicine · 2025
    Article
  3. Article
  4. Article
  5. 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

8 authors.

Atsushi KohgaDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. akohga11@yahoo.co.jp.
Kiyoshige YajimaDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. ymst13@yahoo.co.jp.
Takuya OkumuraDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. takuya330jp@yahoo.co.jp.
Kimihiro YamashitaDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. jun_isogaki@hospital.fujinomiya.shizuoka.jp.
Jun IsogakiDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. suzukik@hospital.fujinomiya.shizuoka.jp.
Kenji SuzukiDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. kaimai@hospital.fujinomiya.shizuoka.jp.
Akira KomiyamaDivision of Pathology Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. akomiyama-path@umin.ac.jp.
Akihiro KawabeDivision of Surgery Fujinomiya City General Hospital, Fujinomiya, Shizuoka Prefecture 418-0076, Japan. kaimai@hospital.fujinomiya.shizuoka.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isolated cecal necrosis (ICN) is a rare condition which is developed under decreased mesenteric perfusion. Only a few dozen cases of ICN have been reported previously. The patient was a 59-year-old male with a previous history of atrial fibrillation. He presented to our emergency room with the chief complaint of lower abdominal pain. Computed tomography imaging revealed a dilated cecum and presence of free air. With a preoperative diagnosis of perforation of the cecum; an urgent surgery was conducted. Intraoperative findings revealed an ischemic change of the cecum and a laparoscopic-assisted ileocecal resection was performed. The pathological findings showed transmural ischemic change on the anti-mesenteric side of the cecum, and the diagnosis of ICN was achieved. Preoperative diagnosis of ICN is difficult because of its non-specific radiological features. In patients with right lower abdominal pain, ICN should be considered as a differential diagnosis especially if the patient has a comorbidity causing hypotension attack.

Indexed as

Abdominal PainCecumDiagnostic ErrorsDrainageEmergency Service, HospitalHumansIleostomyIntestinal PerforationIschemiaLaparoscopyLength of StayMaleMiddle AgedNecrosisPreoperative PeriodTomography, X-Ray Computedisolated cecal necrosislaparoscopic-assisted surgery

Identifiers

PMID30634701
PMCPMC6359131

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Registered trials

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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.