Evidence map›Paper›PMID 34238340›Full record

ArticleJournal of medical case reports2021

Fibroid expulsion: a unique presentation of mechanical small bowel obstruction 11 years after uterine artery embolization: a case report.

Jeffrey L Roberson, Lauren N Krumeich, Nabil F Darwich, Victor Babatunde, Dorottya Laczko, Andrew Albee, Zhaohai Yang, Amr El Jack, Richard Shlansky-Goldberg, Mary DeAgostino-Kelly and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 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
0.5field-weighted citation impact, top 32% 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, 4 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Jeffrey L RobersonDepartment of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA, 19104, USA. Jeffrey.Roberson@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-0168-8578
Lauren N KrumeichDepartment of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA, 19104, USA.
Nabil F DarwichPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Victor BabatundeDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Dorottya LaczkoDepartment of Pathology & Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Andrew AlbeeDepartment of Pathology & Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Zhaohai YangDepartment of Pathology & Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Amr El JackDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Richard Shlansky-GoldbergDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Mary DeAgostino-KellyDepartment of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Benjamin M BraslowDivision of Trauma, Surgical Critical Care, and Emergency Surgery, Hospital of the University of Pennsylvania, Philadelphia, USA.
Hospital of the University of Pennsylvania · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine artery embolization in the treatment of uterine leiomyoma has been rarely associated with dislodgement and expulsion of infarcted uterine fibroids through the vagina, peritoneum, or bowel wall, predominantly occurring within 6 months of uterine artery embolization. CASE PRESENTATION: We present the case of a 54-year-old African American woman who underwent uterine artery embolization 11 years prior and developed mechanical small bowel obstruction from the migration of fibroid through a uteroenteric fistula with ultimate impaction within the distal small bowel lumen. Small bowel resection and hysterectomy were curative.

conclusionsUteroenteric fistula with small bowel obstruction due to fibroid expulsion may present as a delayed finding after uterine artery embolization and requires heightened awareness.

Indexed as

Embolization, TherapeuticIntestinal ObstructionLeiomyomaUterine Artery EmbolizationUterine DiseasesUterine NeoplasmsFemaleHumansMiddle AgedTreatment OutcomeCase reportFibroidSmall bowel obstructionUterine artery embolizationUteroenteric fistula

Identifiers

PMID34238340
PMCPMC8268189
OpenAlexW3182823952

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.