Evidence map›Paper›PMID 33431462›Full record

ArticleBMJ case reports2021

Mucin-filled CBD, difficult to manage cholangitis.

Manish Kumar, Ujjwal Sonika, Sanjeev Sachdeva, Ashok Dalal

Abstract readCase ReportsVideo-Audio Media
In one paragraph

Article in BMJ case reports, 2021. 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
–field-weighted citation impact
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.

  1. Article
  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

4 authors.

Manish KumarGastroenterology, GB Pant Hospital, New Delhi, India.
Ujjwal SonikaGastroenterology, GB Pant Hospital, New Delhi, India.
Sanjeev SachdevaGastroenterology, GB Pant Hospital, New Delhi, India.
Ashok DalalGastroenterology, GB Pant Hospital, New Delhi, India drashokdalal83@gmail.com.ORCID http://orcid.org/0000-0001-7590-2226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraductal papillary mucinous neoplasms (IPMNs) are mucin-secreting cystic neoplasm of pancreas. They have a malignant potential. They are usually localised to the pancreas but occasionally can involve surrounding structures (1.9%-6.6%), like bile duct and duodenum, and are labelled as IPMN with invasion. Jaundice as a manifestation of IPMN is not common (4.5%). It can present as jaundice as a result of invasion of common bile duct (CBD) resulting in stricture formation or uncommonly as a result of fistulising to CBD with resultant obstruction of CBD by thick mucin secreted by this tumour. As only few cases (around 23) of mucin-filled CBD are reported in the literature. We are presenting our experience in dealing a rare case of obstructive jaundice caused by IPMN fistulising into CBD, highlighting the difficulties faced in managing such case, especially with regards to biliary drainage and what can be the optimum management in such cases.

Indexed as

Adenocarcinoma, MucinousAnti-Bacterial AgentsBiliary FistulaCholangiopancreatography, Endoscopic RetrogradeCholangitisCommon Bile DuctDrainageFemaleHumansJaundice, ObstructiveMiddle AgedMucinsNeoplasm InvasivenessPancreasPancreatic FistulaPancreatic NeoplasmsAnti-Bacterial AgentsMucinsendoscopypancreas and biliary tract

Identifiers

PMID33431462
PMCPMC7802659

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.