Evidence map›Paper›PMID 36283740›Full record

ArticleBMJ case reports2022

Intraoperative discovery of melanosis coli during emergent bowel resection for perforation.

Grant Hubbard, Ryan Prusko, Jordan Christopher, Ronald Russ, Walter Chlysta

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Grant HubbardDepartment of Surgery, Western Reserve Hospital Partners, Cuyahoga Falls, Ohio, USA.
Ryan PruskoDepartment of Surgery, Western Reserve Hospital Partners, Cuyahoga Falls, Ohio, USA.
Jordan ChristopherLincoln Memorial University Debusk College of Osteopathic Medicine, Harrogate, Tennessee, USA.
Ronald RussDepartment of Graduate Medical Education, Western Reserve Hospital Partners, Cuyahoga Falls, Ohio, USA rruss@westernreservehospital.org.
Walter ChlystaDepartment of Surgery, Western Reserve Hospital Partners, Cuyahoga Falls, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A patient was taken to the operating room with a presumptive diagnosis of necrotic small bowel and colon. During the procedure, it was noted that she had black mucosa throughout the colon. Several factors suggested viable colonic tissue, and the decision was made to not resect the colon as originally planned. Final pathology of the specimen would later reveal melanosis coli, an ultimately benign diagnosis. Further questioning of the patient found that she had taken a herbal laxative supplement containing several components which are known to cause melanosis coli. We hope that this case report will serve as a reminder to surgeons and clinicians to remember melanosis coli as a clinical entity when confronted with blackened or darkened colonic mucosa. On review of available literature, we identified other cases in which melanosis coli was discovered intraoperatively, and we propose a number of factors to support intraoperative decision making.

Indexed as

Colonic DiseasesMelanosisColonFemaleHumansIntestinal MucosaLaxativesLaxativesDrugs: gastrointestinal systemGastrointestinal surgeryGeneral surgeryUnwanted effects / adverse reactions

Identifiers

PMID36283740
PMCPMC9608547

What OpenQuestion holds

Textmetadata
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Registered trials

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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.