Evidence map›Paper›PMID 36585052›Full record

ArticleBMJ case reports2022

Paraureteric space post-ureteric re-implantation: a rare cause of small bowel obstruction.

Martina Spazzapan, Roberta Bullingham, Nkwam Michael Nkwam, Efthymios Ypsilantis

Open access · greenAbstract readCase Reports
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 68% 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, 0 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

4 authors at 2 institutions in 1 country.

Martina SpazzapanPrincess Royal University Hospital, Department of Surgery, King's College Hospital NHS Foundation Trust, London, UK martina.spazzapan@nhs.net.ORCID http://orcid.org/0000-0003-1153-5249
Roberta BullinghamPrincess Royal University Hospital, Department of Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Nkwam Michael NkwamUrology, King's College Hospital NHS Foundation Trust, London, UK.
Efthymios YpsilantisPrincess Royal University Hospital, Department of Surgery, King's College Hospital NHS Foundation Trust, London, UK.
Princess Royal University Hospital · GBKing's College Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A female patient in her 80s presented with a 2-day history of abdominal pain and absolute constipation, having previously undergone a robotic left distal ureterectomy with ureteric re-implantation. CT revealed a closed-loop small bowel obstruction with transition point adjacent to the left ureter and resultant upstream hydronephrosis. An emergency laparotomy revealed small bowel herniation into a paraureteric space created by her previous surgery and defined by the distal ureter medially, the common iliac vessels laterally and the mobilised bladder dome anteriorly. The viable small bowel was reduced, and the space was eliminated by omental flap transposition after omentoplasty. The patient made a full recovery. Preoperative diagnosis of such an unusual cause of internal herniation can be challenging. This very rarely reported case raises awareness of the condition and proposes a treatment strategy.

Indexed as

Intestinal ObstructionUreterAbdominal PainFemaleHerniaHumansIntestine, SmallGastrointestinal surgeryGeneral surgeryUrological cancerUrological surgery

Identifiers

PMID36585052
PMCPMC9809218
OpenAlexW4313365418

What OpenQuestion holds

Textmetadata
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.