A case report of an unusual left atrial mass.

Chinelo Udemgba, Emil Missov, Robert Percy, Srinivasan Sattiraju

Abstract readCase Reports

In one paragraph

Article in European heart journal. Case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing 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

1 citing paper in PubMed.

Management of Gastrointestinal Foreign Bodies with Brief Review of the Guidelines.Pediatric gastroenterology, hepatology & nutrition · 2023
Review

4 · The record

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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.

Chinelo UdemgbaCardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.ORCID 0000-0002-8116-6365

Emil MissovCardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.

Robert PercyCardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.

Srinivasan SattirajuCardiovascular Center, University of Florida Health Jacksonville, 5th Floor Ambulatory Care Center, Box C-35 655 W 8th Street, Jacksonville, FL 32209, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac foreign bodies (FBs) are rare findings that may present as cardiac masses initially. Here, we present an exceptional and rare case of a hypodermic needle FB that transmigrated to the left atrium and presented as a left atrial mass. CASE SUMMARY: A 28-year-old woman with multiple psychiatric disorders including intentional FB ingestion and self-inflicting injuries presented to the emergency room with abdominal pain, nausea, vomiting, diarrhoea, and chest pain that radiated to the left arm and face for 2 weeks. An echocardiogram was performed revealing a left atrial mass concerning for myxoma. During the surgical removal of the mass, a hypodermic needle was found attached to the roof of the left atrium surrounded by thrombotic and fibrotic tissue, which was confirmed by pathology. DISCUSSION: Cardiac FBs are caused generally by penetrating wounds from direct trauma. Fewer cases have been reported regarding cardiac FB caused by ingestion from migration of the object to the heart. Signs and symptoms for cardiac FB may mimic those of cardiac masses. Cardiac FBs often require surgical intervention to avoid complications.

Indexed as

Case reportForeign bodyLeft atrial mass

Identifiers

PMID33554028

DOI10.1093/ehjcr/ytaa500

PMCPMC7850628

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