Evidence map›Paper›PMID 38302853›Full record

ArticleSurgical case reports2024

Surgery for long tubular intestinal duplication with massive hemorrhage: a case report and literature review.

Chiyoshi Toyama, Hiroto Mizushima, Kenichi Kinjo, Yohei Masunaga, Yasuko Fujisawa, Isao Miyairi, Yukichi Tanahashi, Satoshi Osawa, Toshio Sawai

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical case reports, 2024. 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
0.6field-weighted citation impact, top 38% 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

9 authors at 1 institution in 1 country.

Chiyoshi ToyamaDepartment of Pediatric Surgery, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan. a9dt10@gmail.com.ORCID http://orcid.org/0000-0001-5171-5899
Hiroto MizushimaDepartment of Pediatrics, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Kenichi KinjoDepartment of Pediatrics, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Yohei MasunagaDepartment of Pediatrics, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Yasuko FujisawaDepartment of Pediatrics, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Isao MiyairiDepartment of Pediatrics, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Yukichi TanahashiDepartment of Radiology, Hamamatsu University School of Medicine, University Hospital, 1-20-1, HandayamaHamamatsu, Shizuoka, 431-3192, Japan.
Satoshi OsawaDepartment of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, University Hospital, 1-20-1, HandayamaHamamatsu, Shizuoka, 431-3192, Japan.
Toshio SawaiDepartment of Pediatric Surgery, Hamamatsu University School of Medicine, University Hospital, Handayama, 1-20-1, Hamamatsu, Shizuoka, 431-3192, Japan.
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong tubular duplication is a rare congenital intestinal disease, that can lead to emergency situations marked by massive hemorrhage. However, preoperative diagnosis and surgical treatment are challenging. This report presents preoperative images and details a surgical procedure for long tubular intestinal duplications with massive hemorrhage. CASE PRESENTATION: A 3-year-old boy presented to the emergency department with melena. Despite undergoing a Tc-99m pertechnetate scintigraphy one year prior, which revealed nonspecific findings with enhancement of some parts of the intestine, enhanced abdominal CT revealed an edematous small intestine with luminal extravasation. The patient received a transfusion of red blood cells; however, his hemoglobin level did not improve. Arterial angiography and double-balloon endoscopy revealed no remarkable findings. Exploratory laparotomy revealed a long tubular duplication in half of the small intestine. Utilizing the Wrenn procedure, we successfully removed all duplicate mucosa. Pathological findings showed that almost all duplications contained gastric mucosa and revealed an ulcer with a ruptured arterial vessel. His symptoms were resolved, and the hemoglobin level stabilized. At 2 months postoperatively, no surgical complications were present.

conclusionsEffective management of long tubular duplications with massive hemorrhage involves timely application of the Wrenn procedure. Recognition of specific imaging findings is crucial to prompt exploratory laparotomy, ensuring optimal outcomes and preventing delays in treatment.

Indexed as

DuplicationGastric mucosaMelenaTubularWrenn

Identifiers

PMID38302853
PMCPMC10834911
OpenAlexW4391481837

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.