Evidence map›Paper›PMID 34513572›Full record

ArticleInternational journal of surgery case reports2021

Large intestinal perforation secondary to COVID-19: A case report.

Carlos Andres Muñoz, Michael Zapata, Claudia Isabela Gómez, Luis Fernando Pino, Mario Alain Herrera, Adolfo González-Hadad

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Carlos Andres MuñozDepartment of Trauma and Emergency Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia. Electronic address: cirugia.general@correounivalle.edu.co.
Michael ZapataDepartment of General Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia.
Claudia Isabela GómezDepartment of General Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia.
Luis Fernando PinoDepartment of Trauma and Emergency Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia.
Mario Alain HerreraDepartment of Trauma and Emergency Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia. Electronic address: mario.herrera@correounivalle.edu.co.
Adolfo González-HadadDepartment of Trauma and Emergency Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia. Electronic address: adolfo.gonzalez@correounivalle.edu.co.
Hospital Universitario del Valle ESE · COUniversidad del Valle · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCOVID-19 infection is generally characterized by the presence of respiratory symptoms. However, a small percentage of these patients also have gastrointestinal symptoms and complications that are associated with high morbidity and mortality. PRESENTATION OF CASE: A 50-year-old male patient with COVID-19 infection was being treated for COVID-19 and pneumonia in the ICU. He presented with gastrointestinal symptoms, and the computed tomography (CT) scan revealed a hollow viscus perforation. Ultimately, the patient was taken to surgery, where a spontaneous perforation was found in the right colon. The defect was sutured with separate stitches. There were no complications postoperatively. DISCUSSION: Although respiratory symptoms are the most common presentation of COVID-19, about 18% of these patients may present with gastrointestinal symptoms. However, an even smaller percentage of critically ill patients may develop serious gastrointestinal complications such as perforation of the large intestine. This unusual complication requires immediate diagnosis and surgical management.

conclusionAt the time of the COVID-19 pandemic, physicians must recognize COVID-19 in patients presenting gastrointestinal symptoms. A high degree of clinical suspicion enables timely diagnosis and management, thereby preventing major complications.

Indexed as

Bowel perforationColonic perforationCOVID-19Gastrointestinal perforationSARS–CoV-2

Identifiers

PMID34513572
PMCPMC8420134
OpenAlexW3198440797

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.