Evidence map›Paper›PMID 36396995›Full record

ArticleInternational journal of emergency medicine2022

An unusual case of a traumatic splenic rupture masquerading as myocardial ischemia: a case report.

B M Munasinghe, U P M Fernando, Thileep Kumar, Chamika Huruggamuwa, K A R L Kuruppu, G G C Hewawasam

Open access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2022. 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
0.7field-weighted citation impact, top 30% 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, 3 citations in OpenAlex.

  1. Article
  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

6 authors at 3 institutions in 2 countries.

B M MunasingheDepartment of Anaesthesiology and Intensive care, District General Hospital, Mannar, Sri Lanka. malakafmp@gmail.com.ORCID https://orcid.org/0000-0001-8373-4752
U P M FernandoNational Blood Transfusion Service, Colombo, Sri Lanka.
Thileep KumarDepartment of Surgery, District General Hospital, Mannar, Sri Lanka.
Chamika HuruggamuwaWrexham Maelor Hospital, Wrexham, Wales.
K A R L KuruppuDepartment of Anaesthetics, Queen Elizabeth the Queen Mother Hospital, Margate, UK.
G G C HewawasamDepartment of Anaesthetics, Queen Elizabeth the Queen Mother Hospital, Margate, UK.
Queen Elizabeth the Queen Mother Hospital · GBMannar Hospital · LKWrexham Maelor Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe spleen is one of the most frequently injured abdominal organs during trauma, which can result in intraperitoneal bleeding of life-threatening magnitude. Although splenic injury secondary to trivial trauma comprises a minor fraction of abdominal injuries, undiagnosed or delayed diagnosis may result in a complicated clinical course. CASE PRESENTATION: One such event is presented here, wherein a late diagnosis of an advanced grade splenic injury following a trivial trauma initially presented in disguise as acute myocardial ischaemia in a previously healthy South Asian woman in her late 30s. Emergency laparotomy and splenectomy were performed with simultaneous massive transfusion for a 3.5-L blood loss. She subsequently had an uncomplicated clinical course with regular surgical follow-up.

conclusionSplenic injuries might present with ambiguous symptoms such as atypical chest pain and shoulder pain, necessitating attending clinicians to have a high degree of suspicion, especially in busy units such as the emergency department (ED).

Indexed as

Case reportLife-threatening haemorrhageSplenic injuryTraumatic splenic rupture

Identifiers

PMID36396995
PMCPMC9670044
OpenAlexW4309512627

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.