Evidence map›Paper›PMID 38283414›Full record

ArticleJournal of surgical case reports2024

An interesting twist: 90 year-old female with acute small bowel obstruction due to midgut volvulus.

Hillary M Jackson, Khaled Saed, Turner Adams, Matthew B Maturasingh, Fallon D Vedros, Mohammad M Masri

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Hillary M JacksonDepartment of Graduate Medical Education, Larkin Community Hospital, South Miami, FL 33143, United States.ORCID https://orcid.org/0000-0002-7587-0989
Khaled SaedDepartment of Graduate Medical Education, Larkin Community Hospital, South Miami, FL 33143, United States.
Turner AdamsRoss University School of Medicine, 2300 SW 145th Ave #200, Miramar, FL 33027, United States.
Matthew B MaturasinghFaculty of Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago.
Fallon D VedrosMedical University of the Americas, Charlestown, Nevis, West Indies.ORCID https://orcid.org/0009-0003-8361-7419
Mohammad M MasriDepartment of Graduate Medical Education, Larkin Community Hospital, South Miami, FL 33143, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report an exceptionally rare presentation of midgut volvulus secondary to malrotation in a nonagenarian female. According to our extensive literature review, this 90-year-old female is the oldest reported case of midgut volvulus. This patient presented with acute recurrent emesis. Imaging showed midgut volvulus with associated small bowel obstruction. The patient underwent an exploratory laparotomy that revealed midgut volvulus because of congenital malrotation and Ladd's bands, necessitating a modified Ladd's procedure. The patient had an uneventful postoperative course. Congenital malrotation with Ladd's bands was likely asymptomatic throughout this patient's life. Our case adds to the scarce instances where midgut volvulus with malrotation is identified in elderly patients, underscoring the importance of considering this diagnosis irrespective of age. We recommend including midgut volvulus because of malrotation in a differential list of atypical small bowel obstruction in elderly patients.

Indexed as

adult malrotationadult midgut volvulusLadd’s bandsmalrotationsmall bowel obstruction

Identifiers

PMID38283414
PMCPMC10810726

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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.