Evidence map›Paper›PMID 31123676›Full record

ArticleWorld journal of clinical cases2019

Laparoscopic appendectomy for elemental mercury sequestration in the appendix: A case report.

Gregor Norčič, Žan Čebron, Primož Sever, Jan Grosek, Aleš Tomažič

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Mercury Poisoning and the Wider Implications.Case reports in medicine · 2025
    Article
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Gregor NorčičDepartment of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia. gregor.norcic@kclj.si.
Žan ČebronDepartment of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.
Primož SeverDepartment of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.
Jan GrosekDepartment of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.
Aleš TomažičDepartment of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana SI-1000, Slovenia.
Ljubljana University Medical Centre · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite negligible absorption of elemental mercury after acute ingestion, retention in the appendix with subsequent local and systemic complications is possible. We present a case of elemental mercury sequestration in the appendix, managed by laparoscopic appendectomy. CASE SUMMARY: A 57-year-old Caucasian female was found unconscious following application of long-lasting insulin detemir and ingestion of elemental mercury in a suicidal attempt. Diagnostic investigations revealed several radiopaque collections in the gastrointestinal (GI) tract and elevated mercury levels in the blood. Much of the ingested elemental mercury was eliminated from the GI tract with stools stimulated by several enemas. However, a significant amount of mercury remained sequestrated in the appendix despite all conservative measures. Consequently, following deliberations by an interdisciplinary team of specialists, laparoscopic appendectomy was performed 29 d after the mercury ingestion. The surgery itself and postoperative course were uneventful.

conclusionSince conservative measures are often unsuccessful in the management of mercury retention in the appendix, surgery remains a compelling option to prevent possible associated complications.

Indexed as

AppendectomyAppendixCase reportMercury ingestionMercury poisoningMercury retention

Identifiers

PMID31123676
PMCPMC6511929
OpenAlexW2944019018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.