Evidence map›Paper›PMID 32480337›Full record

ArticleInternational journal of surgery case reports2020

A dilemma of a case of Zenker diverticulum; leak or Acinetobacter baumannii?! A case report.

Abdulwahid M Salih, Twana M Ameen, Safeen O Mahmood, Fahmi H Kakamad, Bahman L Fathulla, Tomas M Mikael, Imad J Habibullah, Shvan H Mohammed, Rawezh Q Salih, Suhaib H Kakamad

Abstract readCase Reports
PubMed Full text at PMC Publisher
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. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Abdulwahid M SalihFaculty of Medical Sciences, School of Medicine, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Sulaimani, Madam Mitterrand Street, Kurdistan, Iraq.
Twana M AmeenFaculty of Medical Sciences, School of Medicine, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq; Shar Teaching Hospital, Malik Mahmud Ring Road, Sulaimani, Kurdistan, Iraq.
Safeen O MahmoodShar Teaching Hospital, Malik Mahmud Ring Road, Sulaimani, Kurdistan, Iraq.
Fahmi H KakamadFaculty of Medical Sciences, School of Medicine, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Sulaimani, Madam Mitterrand Street, Kurdistan, Iraq; Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq. Electronic address: fahmi.hussein@univsul.edu.iq.
Bahman L FathullaSulaymaniyah Teaching Hospital, François Mitterrand Street, Kurdistan, Iraq.
Tomas M MikaelSmart Health Tower, Sulaimani, Madam Mitterrand Street, Kurdistan, Iraq; Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.
Imad J HabibullahSmart Health Tower, Sulaimani, Madam Mitterrand Street, Kurdistan, Iraq; Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.
Shvan H MohammedKscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.
Rawezh Q SalihSmart Health Tower, Sulaimani, Madam Mitterrand Street, Kurdistan, Iraq; Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.
Suhaib H KakamadKscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionZenker's diverticulum is an acquired mucosal pulsion of the upper esophagus. The aim of this paper is to report a case of Zenker's diverticulum with a complicated postoperative course including infection by Acinetobacter baumannii causing diagnostic as well as management dilemma. CASE REPORT: A 43-year-old male complained from dysphagia for three months. Barium swallow revealed Zenker's diverticulum. Under general anesthesia, the small Zenker's diverticulum was ligated and myotomy was done. He developed erythematous swelling at the site of the operation. The patient was taken to the operation theater. The esophagus was tested, no trace of leak was found. The patient developed cardiac arrest. He was admitted to the intensive care unit and remained there for twenty eight days. Bronchial wash culture showed Acinetobacter baumannii. The patient was on antibiotic, supportive treatment and enteral feeding through nasogastric tube. After recovery he was extubated and barium swallow was done which was normal and showed no signs of leak. Three months after the operation, the patient was completely normal. DISCUSSION: This case had a positive culture for Acinetobacter baumannii. It is commonly accounted for nosocomial infections. It has been documented as a serious threat worldwide because of the emerging prevalence of multidrug resistant. However, an inadequate understanding of A. baumannii pathophysiology and ecosystem confines the progress of alternative therapeutic policies. In the current case, it was not clear either leak or Acinetobacter baumannii was the cause of deterioration.

conclusionBoth esophageal leak and infection with Acinetobacter baumannii are fulminant debilitating conditions that could be managed with conservative strategies.

Indexed as

Acinetobacter baumanniiLeakZenker’s diverticulum

Identifiers

PMID32480337
PMCPMC7264014

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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.