Evidence map›Paper›PMID 33743673›Full record

ArticleBMC surgery2021

Double rarity: malignant masquerade biliary stricture in a situs inversus totalis patient.

K Eitler, Z Mathe, V Papp, A Zalatnai, A Bibok, P A Deak, L Kobori, G Telkes

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 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
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Situs Inversus Totalis: A Clinical Review.International journal of general medicine · 2022
    Review
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

8 authors at 1 institution in 1 country.

K EitlerDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-8810-4669
Z MatheDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-7835-5077
V Papp1st. Department of Surgery and Interventional Gastroenterology, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-5093-0562
A Zalatnai1st. Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary.ORCID http://orcid.org/0000-0001-6334-8336
A BibokDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0003-0816-6083
P A DeakDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0003-3881-837X
L KoboriDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary.ORCID http://orcid.org/0000-0002-4843-6650
G TelkesDepartment of Transplantation and Surgery, Semmelweis University, VIII. Baross u.23, Budapest, 1082, Hungary. telkesdr@gmail.com.ORCID http://orcid.org/0000-0002-1551-5029
Semmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSitus inversus totalis is a rare anatomical variation of both the thoracic and the abdominal organs. Common bile duct strictures can be caused by malignant and benign diseases as well. 7-18% of the latter ones are 'malignant masquerade' cases, as pre-operative differentiation is difficult. CASE PRESENTATION: We present the case of a 68y male patient with known situs inversus totalis and a recent onset of obstructive jaundice caused by a malignant behaving common bile duct stricture. Technically difficult endoscopic retrograde cholangiopancreatography, brush cytology, magnetic resonance cholangiopancreatography, endoscopic ultrasound, and percutaneous transhepatic drainage with stent implantation were performed for proper diagnosis. Cholecystectomy, common bile duct resection with hilar lymphadenectomy, and hepatico-jejunostomy have been performed following multidisciplinary consultation. The final histology report did not confirm any clear malignancy, the patient is doing well.

conclusionIn situs inversus patients, both diagnostic and therapeutic procedures can lead to various difficulties. Benign biliary strictures are frequently misdiagnosed preoperatively as cholangiocellular carcinoma. Surgery is usually unavoidable, involving a significant risk of complications. The co-existence of these two difficult diagnostic and therapeutic features made our case challenging.

Indexed as

Jaundice, ObstructiveAgedBile Duct NeoplasmsBile Ducts, IntrahepaticConstriction, PathologicHumansKlatskin TumorMagnetic Resonance ImagingMaleSitus InversusTomography, X-Ray ComputedCommon bile ductKlatskin tumorObstructive jaundicePerihilar cholangiocarcinomaSitus inversus

Identifiers

PMID33743673
PMCPMC7981884
OpenAlexW3137172915

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.