Evidence map›Paper›PMID 31842856›Full record

ArticleBMC surgery2019

Ruptured desmoid tumor imitating acute appendicitis - a rare reason for an emergency surgery.

Yavor Asenov, Stoyan Genadiev, Alexander Timev, Jeni Panaiotova, Valeria Hadjiiska, Tihtchev Veselin, Theophil Sedloev

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 10 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

7 authors at 4 institutions in 1 country.

Yavor AsenovDepartment of Surgery, Medical University - Sofia, University Hospital "Queen Joanna", 8 "Byalo More" Str., 1527, Sofia, Bulgaria. yavorasenov@gmail.com.ORCID http://orcid.org/0000-0002-4005-5570
Stoyan GenadievDepartment of Vascular Surgery, Multi-profile Hospital for Active Treatment "Uni Hospital", 100 "Georgi Benkovski" Str., 4500, Panagiurishte, Bulgaria.
Alexander TimevDepartment of Urology, Medical University - Sofia, University Hospital "Alexandrovska", 1 Georgi Sofiiski blvd, 1431, Sofia, Bulgaria.
Jeni PanaiotovaDepartment of Gynecology, Multi-profile Hospital for Active Treatment "Nadezhda", 3 "Blaga vest" Str., 1330, Sofia, Bulgaria.
Valeria HadjiiskaDepartment of Nuclear Medicine, Medical University - Sofia, University Hospital "Alexandrovska", 1 "Georgi Sofiiski" blvd, 1431, Sofia, Bulgaria.
Tihtchev VeselinDepartment of Pathology, Medical University - Sofia, University Hospital "Queen Joanna", 8 "Byalo More" Str., 1527, Sofia, Bulgaria.
Theophil SedloevDepartment of Surgery, Medical University - Sofia, University Hospital "Queen Joanna", 8 "Byalo More" Str., 1527, Sofia, Bulgaria.
Medical University of Sofia · BGAlexandrovska Hospital · BGNational Institute of Emergency Medicine "Pirogov" · BGUniversity Hospital Dr. Georgi Stranski · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDesmoid tumors, also known as aggressive fibromatosis, are extremely rare, accounting for less than 3% of soft-tissue sarcomas and less than 0,03% of all neoplasms. The diagnosis is usually delayed because of the lack of specific symptoms, and can sometimes lead to serious and, even fatal complications. CASE PRESENTATION: We report the case of a 27-year-old male patient presenting with the clinical picture of acute appendicitis. During the operation, we found a tumor in the jejunum with a necrotic zone and perforation on its surface, causing hemorrhagic effusion into the abdominal cavity and subsequent peritonitis. The tumor was removed with negative margins via resection of the small bowel. The final histological result showed aggressive fibromatosis.

conclusionsAggressive fibromatosis remains a serious problem with the possibility of locally aggressive behavior with high rates of recurrence. Sometimes, its clinical and macroscopic recognition can be immensely tricky. As shown by our patient, on rare occasions, desmoid tumors can lead to acute surgical abdomen requiring an emergency operation.

Indexed as

Abdomen, AcuteAcute DiseaseAdultAppendicitisDesmoid TumorsDiagnosis, DifferentialHumansJejunal NeoplasmsMalePeritonitisAggressive fibromatosisCase reportDesmoid tumorFibromatosisIntestinal mesenterySoft-tissue sarcomas

Identifiers

PMID31842856
PMCPMC6916464
OpenAlexW2994809364

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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.