Evidence map›Paper›PMID 34545321›Full record

ArticleJournal of pediatric surgery case reports2021

Abdominal manifestation of multisystemic inflammatory syndrome in children.

Iván José Ardila Gómez, Pilar Pérez López, Darling Carvajal Duque, Doris Martha Salgado García, Andres Felipe Romero, Martha Rocío Vega Vega, Jorge Andres Ramos Castañeda

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of pediatric surgery case reports, 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
1.0field-weighted citation impact, top 23% 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, 5 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Iván José Ardila GómezPediatric Critical Care, Colombia.
Pilar Pérez LópezPediatric Rheumatology, Colombia.
Darling Carvajal DuquePediatric Critical Care, Colombia.
Doris Martha Salgado GarcíaPediatric Bioethicist, Colombia.
Andres Felipe RomeroPediatric Infectious Diseases, Colombia.
Martha Rocío Vega VegaPediatric Bioethicist, Colombia.
Jorge Andres Ramos CastañedaProfessor at Universidad Surcolombiana, Neiva, Huila, Colombia.
Hospital Universitario de Neiva · COUniversidad Antonio Nariño · COUniversidad Surcolombiana · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryMultisystemic inflammatory syndrome (MIS-C) can develop as a complication of SARS CoV-2 infection, involving the gastrointestinal system mainly by vasoconstriction, edema, glandular hyperplasia, and a procoagulant state leading to direct tissue injury.

methodology: a series of cases including 8 patients with MIS-C treated in two highly complex institutions is presented. These patients, had abdominal symptoms of surgical management.

resultsThe average age was 9.5 years and the most frequent symptoms were fever, abdominal pain, diarrhea (100%); in addition, 87.5% presented shock. The diagnosis of SARS CoV-2 was confirmed by RT-PCR test in 37.5%, antigen 12.5% and the rest of the patients showed IgM and IgG antibodies. In laboratories, the increase in acute phase reactants, Erythrocyte Sedimentation Rate (ESR), C-reactive protein, procalcitonin, as well as troponin, D dimer and proBNP, is highlighted. The surgical outcome documented 2 patients with a normal appendix, 3 patients with edematous appendicitis, and 3 patients with complicated appendicitis.

conclusionspatients with MIS-C display abdominal symptoms similar to those present in surgical emergencies and a non-negligible number of cases require surgical exploration. This condition poses a new differential diagnosis to the surgical abdomen in pediatric patients.

Indexed as

Multisystemic inflammatory syndrome. SARS CoV-2 infection. COVID-19

Identifiers

PMID34545321
PMCPMC8444470
OpenAlexW3198981378

What OpenQuestion holds

Textmetadata
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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.