Evidence map›Paper›PMID 38187994›Full record

ArticleCase reports in hepatology2023

Hemorrhagic Shock from a Duodenal Ulcer Eroding into an Ectopic Varix.

Harjit Singh, Alexandra Kimchy, Camille Boustani, Mfoniso Umoren, Amol Rangnekar, Coleman Smith

Abstract readCase Reports
In one paragraph

Article in Case reports in hepatology, 2023. 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
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.

  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

6 authors.

Harjit SinghDepartment of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.ORCID https://orcid.org/0000-0001-7883-5743
Alexandra KimchyDepartment of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.
Camille BoustaniDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Mfoniso UmorenDepartment of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC, USA.
Amol RangnekarDepartment of Transplant Hepatology, MedStar Georgetown University Hospital, Washington, DC, USA.
Coleman SmithDepartment of Transplant Hepatology, MedStar Georgetown University Hospital, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ectopic varices are an infrequent yet fatal complication resulting from the progression of liver cirrhosis. Duodenal varices pose a significant challenge to clinicians as they are not easily visualized on endoscopy due to their submucosal location and lack of red color signs. Identification of duodenal varices is important given the risk of massive and life-threatening bleeding that is difficult to control. Patients may present in hemorrhagic shock requiring immediate resuscitation; however, confirmation of the bleeding source as variceal or non-variceal is critical in determining the optimal therapeutic intervention. Here, we report an unusual case of a duodenal ulcer that eroded into an ectopic varix resulting in hemorrhagic shock.

Identifiers

PMID38187994
PMCPMC10771916

What OpenQuestion holds

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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.