Evidence map›Paper›PMID 33284363›Full record

ReviewThe ultrasound journal2020

Diagnosis at gut point: rapid identification of pneumoperitoneum via point-of-care ultrasound.

Matthew A Taylor, Christopher H Merritt, Philip J Riddle, Carter J DeGennaro, Keith R Barron

Open access · goldAbstract readReview
In one paragraph

Review in The ultrasound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. A Woman With Generalized Abdominal Pain.Journal of the American College of Emergency Physicians open · 2026
    Review
  2. Article
  3. Review
  4. Gastric barotrauma following submarine escape training.Diving and hyperbaric medicine · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. 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

5 authors at 2 institutions in 1 country.

Matthew A TaylorUniversity of South Carolina School of Medicine, Columbia, SC, 29209, USA.ORCID http://orcid.org/0000-0001-7503-4094
Christopher H MerrittUniversity of South Carolina School of Medicine, Columbia, SC, 29209, USA.
Philip J RiddleDepartment of Internal Medicine, Prisma Health Midlands, University of South Carolina School of Medicine, Columbia, SC, 29209, USA.
Carter J DeGennaroDepartment of Emergency Medicine, Prisma Health Midlands, University of South Carolina School of Medicine, Columbia, SC, 29209, USA.
Keith R BarronDepartment of Internal Medicine, Prisma Health Midlands, University of South Carolina School of Medicine, Columbia, SC, 29209, USA. Keith.Barron@uscmed.sc.edu.
Prisma Health · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undifferentiated abdominal pain is a common presentation often requiring immediate medical or surgical intervention. Providing an accurate diagnosis involves a detailed patient history and thorough physical exam. Point of care ultrasound is gaining acceptance as a rapid diagnostic tool that can be used to accurately detect life-threatening conditions while potentially avoiding unnecessary radiation exposure and facilitating rapid treatment. Detection of pneumoperitoneum with point-of-care ultrasound is a simple procedure that relies heavily on the experience of the investigating practitioner. Standard technique involves placing a high-frequency linear-array transducer in the right upper quadrant, where abdominal free air is most likely to accumulate. Detection of the 'gut point', which is the transition of abdominal wall sliding to lack thereof in a single image, is the pathognomonic finding of pneumoperitoneum. If visualization is difficult, moving the patient to the left lateral decubitus position or using the scissors technique can provide additional image views. This representative case report and review highlights the use of abdominal POCUS for the diagnosis of pneumoperitoneum. Ultrasound should continue to be explored by clinicians to narrow the differential diagnosis of acute abdominal pain.

Indexed as

ColonoscopyFree airIntraperitonealPneumoperitoneumSmall bowel perforationUltrasound

Identifiers

PMID33284363
PMCPMC7721848
OpenAlexW3111718221

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.