Evidence map›Paper›PMID 35762500›Full record

ArticleJournal of investigative medicine high impact case reports

A Perfect Storm: Abdominal Pain and Ileus Explained by Acute Intermittent Porphyria Caused by Prehospitalization and Intrahospitalization Factors.

Andrew J Ortega, Sundar Cherukuri, M Ammar Kalas, Brian Lee, Jesus Guzman, Alejandro Robles, Marc J Zuckerman, Ihsan Al-Bayati

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Recognition, Diagnosis, and Treatment ofPathogens (Basel, Switzerland) · 2025
    Review
  2. 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

8 authors at 1 institution in 1 country.

Andrew J OrtegaTexas Tech University Health Sciences Center El Paso, USA.ORCID 0000-0002-6925-9884
Sundar CherukuriTexas Tech University Health Sciences Center El Paso, USA.
M Ammar KalasTexas Tech University Health Sciences Center El Paso, USA.ORCID 0000-0002-6230-9172
Brian LeeTexas Tech University Health Sciences Center El Paso, USA.
Jesus GuzmanTexas Tech University Health Sciences Center El Paso, USA.
Alejandro RoblesTexas Tech University Health Sciences Center El Paso, USA.
Marc J ZuckermanTexas Tech University Health Sciences Center El Paso, USA.
Ihsan Al-BayatiTexas Tech University Health Sciences Center El Paso, USA.
Texas Tech University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute intermittent porphyria (AIP) is a rare autosomal dominant inherited disease, predominantly seen in female patients, caused by mutations in the hydroxymethylbilane synthase gene. When impaired, elevated heme biosynthesis precursor levels accumulate in the liver, resulting in neurological symptoms, psychiatric disturbances, darkened urine color, abdominal pain, nausea, vomiting, and ileus. We present a 22-year-old Hispanic female with diffuse abdominal pain and no bowel movements for 8 days. She reported recent antibiotic and oral contraceptive pill use. Computerized tomography of her abdomen revealed a dilated small bowel and marked colonic distension. A colonoscopy found mild nonspecific inflammation in the rectosigmoid and terminal ileum. Her abdominal pain persisted despite interventions and improvements in appetite, bowel movements, abdominal imaging, and treatment of an identified

Indexed as

IleusPorphyria, Acute IntermittentAbdominal PainFemaleHumansHydroxymethylbilane SynthaseMutationYoung AdultHydroxymethylbilane Synthaseabdominal painacute intermittent porphyriaconstipationgastroenterologyporphyria

Identifiers

PMID35762500
PMCPMC9243374
OpenAlexW4283713048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.