Evidence map›Paper›PMID 32995227›Full record

ArticleJournal of acute medicine2019

Acute Onset of a Swollen Leg With Crepitus: A Complication With Rectal Perforation.

Yun-Chun Yang, Kuo-Hsin Lee, Chih-Wei Hsu, Fu-Jen Cheng, I-Ting Tsai, Wai-Ming Kong

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of acute medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. 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

6 authors at 1 institution in 1 country.

Yun-Chun YangE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
Kuo-Hsin LeeE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
Chih-Wei HsuE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
Fu-Jen ChengE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
I-Ting TsaiE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
Wai-Ming KongE-Da Hospital, I-Shou University Department of Emergency Medicine No. 1, Yida Rd. Jiaosu Vlg., Yanchao Dist. Kaohsiung 824 Taiwan peter_1055@yahoo.com.tw.
I-Shou University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crepitus happened into the soft tissue is indicated subcutaneous emphysema. Subcutaneous emphysema of leg without trauma was likely to diagnose gas gangrene or gas-forming myonecrosis (GFM) at emergency department (ED). On the other hand, abdominal fatal condition with gas from the gut may spread to the leg should be considered a different diagnosis. We report a case of critically ill patient who presented to the ED with initial features suggestive of necrotizing fasciitis with gas gangrene of left leg. Assessment and further intervention revealed subcutaneous emphysema of leg secondary to a perforation of rectum associated with previous anastomosis site for rectal cancer surgery. Subcutaneous emphysema of the leg rarely happened secondary to perforation of the gastrointestinal tract and has often created serious diagnostic problems which may lead to mortality. Consequently, prompt diagnosis and aggressive treatment is imperative. Physicians and surgeons should be aware of this condition that could be fatal but curable by early intervention.

Indexed as

gas gangrenerectal perforationsubcutaneous emphysema

Identifiers

PMID32995227
PMCPMC7440388
OpenAlexW3090663106

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.