Evidence map›Paper›PMID 32193141›Full record

ArticleInternational journal of surgery case reports2020

Acute abdomen caused by rupture of a torted intra-abdominal testicular mass: Case report.

Ahmed Ghobashy, Doaa Hasan, Ahmed AbdElsalam, Aboubakr Ahmed, Ahmed Arafat, Mahmoud Tarek, Moutaz Ragab

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2020. 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
0.4field-weighted citation impact, top 39% 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, 2 citations in OpenAlex.

  1. Article
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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 2 institutions in 2 countries.

Ahmed GhobashyDepartment of General Surgery, KasrAlainy Faculty of Medicine, Cairo University, Egypt. Electronic address: dr.a.ghobashy@cu.edu.eg.
Doaa HasanGeneral Surgery Resident, Imbaba General Hospital, Cairo, Egypt. Electronic address: doaa_mohamad_hasan@yahoo.com.
Ahmed AbdElsalamDepartment of General Surgery, KasrAlainy Faculty of Medicine, Cairo University, Egypt. Electronic address: a.abd.elsalam@kasralainy.edu.eg.
Aboubakr AhmedDepartment of Surgery, Pediatric Surgery Unit, Cairo University Specialized Pediatric Hospital (CUSPH), Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: drbakkar8309@yahoo.com.
Ahmed ArafatDepartment of Surgery, Pediatric Surgery Unit, Cairo University Specialized Pediatric Hospital (CUSPH), Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: ahmed_ezzat@kasralainy.edu.eg.
Mahmoud TarekDepartment of Surgery, Pediatric Surgery Unit, Cairo University Specialized Pediatric Hospital (CUSPH), Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: mahmoud.tarek@kasralainy.edu.eg.
Moutaz RagabDepartment of Surgery, Pediatric Surgery Unit, Cairo University Specialized Pediatric Hospital (CUSPH), Faculty of Medicine, Cairo University, Cairo, Egypt. Electronic address: moutazragab86@gmail.com.
Cairo University · EGHamad General Hospital · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCryptorchidism is defined as the absence of one or both testicles from the scrotum, which is considered one of the most common birth defects of male genitalia. Mostly the undescended testes are in the inguinal region, while the intra-abdominal location accounts for only 10 % of the cases. The potential risk of malignant transformation in an undescended testis is approximately 2.5-8 times higher than in scrotal position. Torsion of the cryptorchid testis is a very rare cause of acute abdominal pain with few cases published in literature. CASE PRESENTATION: A 44-year-old male patient presented to the emergency room with acute abdominal pain. General examination revealed relevant tachycardia. Upon abdominal examination there was tenderness and rebound tenderness all over the abdomen, more evident in the lower abdomen. Interestingly, routine examination of the inguino-scrotal region revealed empty right hemi-scrotum despite the patient not being aware. Routine blood tests showed marked anemia Hb: 7.4 g/dl. Urgent pelvi-abdominal U/S showed moderate free intra-abdominal collection in addition to a pelvic mass. CT of the abdomen showed a well-defined heterogenous hypodense mass measuring about 8.5 × 5.5 cm in the pelvis. Urgent exploratory laparotomy was done, and a mass was found to be torted and ruptured. Excision was done and histo-pathological examination revealed testicular mixed germ cell tumor.

conclusionUndescended testis is associated with an increased risk of infertility, testicular cancer and torsion. In any male with undescended testis and intra-abdominal mass; the risk of intra-abdominal testicular tumor should be considered.

Indexed as

CryptorchidismGerm cell tumorIntra-abdominal massTesticular cancerUndescended testis

Identifiers

PMID32193141
PMCPMC7078450
OpenAlexW3011659390

What OpenQuestion holds

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Registered trials

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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.