Evidence map›Paper›PMID 36394682›Full record

ArticleSurgical case reports2022

Surgical approach for appendicitis in neutropenia: a case report and review of the literature.

Ushanthan Uthayanan, Walter Kolb, Bruno Schmied, Stephan Bischofberger

Open access · goldAbstract read
In one paragraph

Article in Surgical 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
0.3field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

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

4 authors at 1 institution in 1 country.

Ushanthan UthayananDepartment of General, Visceral, Endocrine and Transplant Surgery, Kantonsspital St. Gallen, Saint Gall, Switzerland. ushanthan.uthayanan@kssg.ch.ORCID http://orcid.org/0000-0002-8268-1190
Walter KolbDepartment of General, Visceral, Endocrine and Transplant Surgery, Kantonsspital St. Gallen, Saint Gall, Switzerland.
Bruno SchmiedDepartment of General, Visceral, Endocrine and Transplant Surgery, Kantonsspital St. Gallen, Saint Gall, Switzerland.
Stephan BischofbergerDepartment of General, Visceral, Endocrine and Transplant Surgery, Kantonsspital St. Gallen, Saint Gall, Switzerland.
Kantonsspital St. Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute appendicitis is a common abdominal pathology, particularly in younger patients presenting with abdominal pain. The clinical presentation is typically characterized by right lower quadrant pain (with local peritonitis) accompanied by fever and nausea. In neutropenic patients it is challenging to diagnose acute appendicitis. It is much more challenging because the characteristic symptoms are different, and diagnosis may be delayed or missed. CASE PRESENTATION: We present the case of a 33-year-old Caucasian male patient with fever, abdominal pain, and an absolute granulocyte count of 0 × 10

conclusionWe discuss the different treatment strategies in patients with neutropenia presenting with acute appendicitis (i.e., conservative management, delayed appendectomy, and immediate appendectomy) based on our experience and a review of the literature. In summary, delayed laparoscopic appendectomy at the onset of granulocyte regeneration under antibiotic and G-CSF therapy represents a viable surgical option for adults as well as for children and should be discussed compared with conservative therapy.

Indexed as

AppendectomyAppendicitisCase reportG-CSFNeutropenia

Identifiers

PMID36394682
PMCPMC9672175
OpenAlexW4309267585

What OpenQuestion holds

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LicenceCC BY
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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.