Evidence map›Paper›PMID 31592325›Full record

ArticleAcute medicine & surgery2019

Delayed development of portal vein thrombosis in a patient initially detected with portal venous gas and pneumatosis intestinalis: a case report.

Masatoku Arai, Shiei Kim, Hiromoto Ishii, Jun Hagiwara, Toru Takiguchi, Yoshito Ishiki, Hiroyuki Yokota

Open access · goldAbstract readCase Reports
In one paragraph

Article in Acute medicine & surgery, 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
0.7field-weighted citation impact, top 28% 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, 4 citations in OpenAlex.

  1. Review
  2. Review
  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

7 authors at 1 institution in 1 country.

Masatoku AraiDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.ORCID https://orcid.org/0000-0003-4185-8196
Shiei KimDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Hiromoto IshiiDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Jun HagiwaraDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Toru TakiguchiDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Yoshito IshikiDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Hiroyuki YokotaDepartment of Emergency & Critical Care Medicine Nippon Medical School Bunkyo-ku Tokyo Japan.
Nippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPortal venous gas (PVG) and pneumatosis intestinalis (PI) are rare pathologic findings, and a delayed appearance of portal vein thrombosis (PVT) in such patients is extremely rare. CASE PRESENTATION: A 51-year-old man complaining of epigastric pain was referred to our hospital. Computed tomography (CT) at admission revealed massive PVG and extensive PI, but no PVT. Emergency laparotomy was carried out, but bowel resection was unnecessary. On follow-up CT on postoperative day 5, thrombosis was noted in the portal venous system, and anticoagulant was started immediately. This patient was discharged and continued to take the anticoagulant. Seven months after discharge, PVT had disappeared on CT without any thromboembolic complications.

conclusionIf acute PVT is detected, anticoagulant is needed to prevent bowel ischemia and/or portal hypertension due to the growth of the thrombus. Clinicians should be aware of the potential for such a complication, and make their best efforts to exclude this entity using CT or sonography.

Indexed as

Pneumatosis intestinalisportal vein thrombosisportal venous gas

Identifiers

PMID31592325
PMCPMC6773629
OpenAlexW2967206526

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.