Evidence map›Paper›PMID 31772132›Full record

ArticleBMJ case reports2019

Small bowel perforation secondary to CMV-positive terminal ileitis postrenal transplant.

Kosuke Kato, Michelle Cooper

Abstract readCase Reports
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Investigation of Cytomegalovirus in Intestinal Tissue in a Country With High CMV Seroprevalence.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    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

2 authors.

Kosuke KatoDepartment of General Surgery, Gold Coast University Hospital, Southport, Queensland, Australia kosuke.kato.kk@gmail.com.ORCID http://orcid.org/0000-0002-8997-7672
Michelle CooperDepartment of General Surgery, Gold Coast University Hospital, Southport, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytomegalovirus (CMV) infection of the gastrointestinal tract is common in immunosuppressed patients; however, small bowel perforation from tissue-invasive CMV disease after many years of immunosuppressive therapy is a rare complication requiring timely medical and surgical intervention. We report a case of a postrenal transplant patient who presented to the emergency department with severe lower abdominal pain with CT of the abdomen/pelvis revealing a small bowel perforation. He underwent an emergent laparoscopic right hemicolectomy, and his histopathology of the terminal ileum was positive for CMV disease. He was successfully treated with intravenous ganciclovir postoperatively. We discuss the pathophysiology, histopathological features and treatment of CMV infection.

Indexed as

Abdominal PainAdministration, IntravenousAgedAntiviral AgentsColectomyCytomegalovirusCytomegalovirus InfectionsDiagnosis, DifferentialGanciclovirHumansIleumImmunocompromised HostIntestinal PerforationKidney TransplantationLaparoscopyMaleAntiviral AgentsGanciclovirgeneral surgeryinfection (gastroenterology)renal transplantation

Identifiers

PMID31772132
PMCPMC6887416

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.