Evidence map›Paper›PMID 34261520›Full record

ArticleJournal of medical case reports2021

Adult residual rectourethral fistula and diverticulum presenting decades after imperforate anus repair: a case report.

Erin K McShane, Brooke Gurland, Vipul R Sheth, Matias Bruzoni, Ekene Enemchukwu

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
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, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 37% 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, 3 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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

5 authors at 2 institutions in 1 country.

Erin K McShaneStanford University School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA. emcshane@stanford.edu.ORCID http://orcid.org/0000-0001-6296-1964
Brooke GurlandStanford University Medical Center, 300 Pasteur Drive, Stanford, CA, 94305, USA.
Vipul R ShethStanford University Medical Center, 300 Pasteur Drive, Stanford, CA, 94305, USA.
Matias BruzoniStanford University Medical Center, 300 Pasteur Drive, Stanford, CA, 94305, USA.
Ekene EnemchukwuStanford University Medical Center, 300 Pasteur Drive, Stanford, CA, 94305, USA.
Stanford Medicine · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis report describes a rare surgical case of an intraabdominal mass in a middle-aged patient 40 years after imperforate anus repair. CASE PRESENTATION: A 44-year-old Latino male with history of repaired anorectal malformation presented with recurrent urinary tract infections and rectal prolapse with bothersome bleeding and fecal incontinence. During his preoperative evaluation, he was initially diagnosed with a prostatic utricle cyst on the basis of magnetic resonance imaging findings, which demonstrated a cystic, thick-walled mass with low signal contents that extended inferiorly to insert into the distal prostatic urethra. However, at the time of surgical resection, the thick-walled structure contained an old, firm fecaloma. The final pathology report described findings consistent with colonic tissue, suggesting a retained remnant of the original fistula and diverticulum.

conclusionsAlthough rare, persistent rectourethral fistula tracts and rectal diverticula after imperforate anus repair can cause symptoms decades later, requiring surgical intervention. This is an important diagnostic consideration for any adult patient with history of imperforate anus.

Indexed as

Anus, ImperforateDiverticulumRectal FistulaUrethral DiseasesUrinary FistulaAdultHumansMaleMiddle AgedCase reportImperforate anusPosterior sagittal anorectoplastyRectourethral fistulaRobotic procedure

Identifiers

PMID34261520
PMCPMC8281626
OpenAlexW3178458148

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.