Evidence map›Paper›PMID 34194865›Full record

ArticleCase reports in surgery2021

Atraumatic Splenic Rupture in a SARS-CoV-2 Patient: Case Report and Review of Literature.

Marcello Agus, Maria Elena Ferrara, Paola Bianco, Cristina Manieli, Paolo Mura, Raffaele Sechi, Matteo Runfola, Fabrizio Polo, Nicola Cillara

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

3 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Marcello AgusS.S.D. Chirurgia d'Urgenza, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Maria Elena FerraraU.O. Medicina di Accettazione e d'Urgenza, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Paola BiancoU.O. Anatomia Patologica, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Cristina ManieliU.O. Anatomia Patologica, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Paolo MuraS.S.D. Chirurgia d'Urgenza, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Raffaele SechiS.O.C. Chirurgia Generale, P.O. Santissima Trinità, ASL Cagliari, Italy.
Matteo RunfolaS.S.D. Chirurgia d'Urgenza, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Fabrizio PoloU.O. Medicina di Accettazione e d'Urgenza, P.O. San Michele, ARNAS "G Brotzu, "Cagliari, Italy.
Nicola CillaraS.O.C. Chirurgia Generale, P.O. Santissima Trinità, ASL Cagliari, Italy.ORCID https://orcid.org/0000-0001-6877-2267
Azienda Ospedaliera G. Brotzu · ITSantissima Trinità · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Splenic rupture in the absence of trauma or previously diagnosed disease is rare. Due to the delay of diagnosis and treatment, this is a potentially life-threatening condition. We report a case of atraumatic splenic rupture in a SARS-CoV-2 patient. This report is of particular interest as it first identifies SARS-CoV-2 infection as a possible cause of spontaneous rupture of the spleen. A 46-year-old Caucasian woman presented at the emergency department pale and sweaty, complaining of syncopal episodes, tachycardia, hypotension, diarrhea, intense abdominal pain, diffuse arthromyalgia, and fever from the day before. RT-PCR was positive for SARS-CoV-2 infection. CT scan demonstrated extensive hemoperitoneum due to rupture of the splenic capsule. The patient required an emergency open splenectomy because of an unresponsive hemorrhagic shock. At the end of the surgery, the patient was relocated to a COVID-19 dedicated facility. COVID-19 is a new disease of which all manifestations are not yet known. Inpatients affected by SARS-CoV-2 infection with abdominal pain and spontaneous splenic rupture should be considered to avoid a delayed diagnosis.

Identifiers

PMID34194865
PMCPMC8184328
OpenAlexW3167966209

What OpenQuestion holds

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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.