Evidence map›Paper›PMID 38569734›Full record

ArticleBMJ case reports2024

Vaginal pessary: a culprit for intraperitoneal bladder perforation.

Ankit Gupta, Chandrakala Channappa, Mohamed Abdelkhalek Ramadan Ibrahim Elsheikh, Manjula Annappa

Open access · hybridAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ 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
–field-weighted citation impact, top 92% 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, 0 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

4 authors at 2 institutions in 1 country.

Ankit GuptaSchool of Medicine, University of Leeds School of Medicine, Leeds, UK ankit.gupta@nhs.net.ORCID http://orcid.org/0000-0002-1864-4651
Chandrakala ChannappaUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Mohamed Abdelkhalek Ramadan Ibrahim ElsheikhUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Manjula AnnappaUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
University Hospitals of North Midlands NHS Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaginal pessaries are widely considered to be a safe and effective non-surgical management option for women with pelvic organ prolapse. Complications may occur, and are more frequent with improper care and certain device designs and materials. It is imperative to provide information to patients about potential complications. We present the case of a woman in her 70s who presented to the Emergency Department with increasing groin and abdominal pain following a vaginal pessary insertion 2 days prior for grade 3 vaginal vault prolapse. On presentation, her abdomen was markedly distended with guarding. Laboratory investigations showed a significant acute kidney injury with a metabolic acidosis. An initial non-contrast CT showed fluid and inflammatory changes surrounding the bladder, and bladder perforation was suspected. A subsequent CT cystogram showed extravasation of contrast from the bladder into the peritoneal cavity, in keeping with an intraperitoneal bladder rupture. The patient underwent an emergency bladder repair in theatre.

Indexed as

Abdominal InjuriesPelvic Organ ProlapseUrinary Bladder DiseasesFemaleHumansPessariesUrinary BladderVaginaObstetrics and gynaecologySurgeryUrology

Identifiers

PMID38569734
PMCPMC10989178
OpenAlexW4393866395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.