Evidence map›Paper›PMID 31296632›Full record

ArticleBMJ case reports2019

An enigmatic triad of acute pancreatitis, diabetic ketoacidosis and hypertriglyceridaemia: who is the culprit?

Umasankar Mathuram Thiyagarajan, Amirthavarshini Ponnuswamy, Alex Chung

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

3 authors at 3 institutions in 1 country.

Umasankar Mathuram ThiyagarajanDepartment of Hepatobiliary-Pancreatic Surgery and Liver Transplantation, Queen Elizabeth Hospital, Birmingham, UK.ORCID http://orcid.org/0000-0001-7272-5252
Amirthavarshini PonnuswamyDepartment of Accident &Emergency, Eastbourne District General Hospital, Eastbourne, UK.
Alex ChungGeneral Surgery, St Georges Hospital NHS Trust, London, UK.
Eastbourne District General Hospital · GBQueen Elizabeth Hospital Birmingham · GBSt George's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute pancreatitis(AP) is one of the common causes of acute abdomen and known to be associated with high morbidity and mortality in severe cases. Though most common causes of AP are cholelithiasis and alcoholism, it has also been reported in association with diabetic ketoacidosis (DKA). Triad of AP, hypertriglyceridaemia (HTG) and DKA is rare co-association and here the causal factor of AP is still not fully established. We report a case of AP in a DKA patient with recent diagnosis of hyperlipidaemia and diabetes. Usually AP has been associated with severe HTG; interestingly, our patient showed only moderate raise in triglycerides but still suffered AP during DKA. Hence, it raises question about the real culprit in this enigmatic triad.

Indexed as

AdultDiabetes Mellitus, Type 2Diabetic KetoacidosisFluid TherapyHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypertriglyceridemiaHypoglycemic AgentsInfusions, IntravenousInsulinMaleMetforminPancreasPancreatitisTomography, X-Ray ComputedHydroxymethylglutaryl-CoA Reductase InhibitorsHypoglycemic AgentsInsulinMetformindiabetesgastrointestinal systemlipid disordersmetabolic disorderspancreatitis

Identifiers

PMID31296632
PMCPMC6626448
OpenAlexW2962316337

What OpenQuestion holds

Texttitle and abstract
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.