Evidence map›Paper›PMID 38784695›Full record

ArticleAustralasian journal of ultrasound in medicine2024

The 'onion skin' sign of a low-grade appendiceal mucinous neoplasm: An incidental finding during early pregnancy assessment.

Hanine Fourie, Maya Al Memar, Maeve Tuomey, Catriona Stalder, Paul Ziprin, Tom Bourne

Abstract readCase Reports
In one paragraph

Article in Australasian journal of ultrasound in medicine, 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. Onion skin sign of mucocele of the appendix-A rare entity.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    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.

Hanine FourieTommy's National Centre for Miscarriage Research Imperial College NHS Trust, Queen Charlotte and Chelsea Hospital London UK.ORCID https://orcid.org/0000-0003-4326-229X
Maya Al MemarTommy's National Centre for Miscarriage Research Imperial College NHS Trust, Queen Charlotte and Chelsea Hospital London UK.ORCID https://orcid.org/0000-0002-3662-3010
Maeve TuomeyTommy's National Centre for Miscarriage Research Imperial College NHS Trust, Queen Charlotte and Chelsea Hospital London UK.
Catriona StalderTommy's National Centre for Miscarriage Research Imperial College NHS Trust, Queen Charlotte and Chelsea Hospital London UK.
Paul ZiprinDepartment of Colorectal Surgery Imperial College NHS Trust, St Mary's Hospital London UK.
Tom BourneTommy's National Centre for Miscarriage Research Imperial College NHS Trust, Queen Charlotte and Chelsea Hospital London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A low-grade appendiceal mucinous neoplasm (LAMN) is a cystic dilatation of the appendix resulting from the accumulation of mucinous secretions caused by a luminal obstruction. Although usually benign, pseudomyxoma peritonei may occur in the event of rupture, and 10% of cases may be secondary to appendiceal cystadenocarcinoma. A LAMN is both more common and more likely to have a malignant association in women, making it an entity with which practitioners of gynaecological ultrasound should be familiar. Although not the primary aim, early pregnancy ultrasound assessments can offer the diagnostic opportunity to identify pelvic pathology. A LAMN can be identified on ultrasonography by visualisation of an adnexal mass separate to the ovary, which due to the layers of secretions has a distinctive appearance previously likened to 'onion-skin' or 'whipped-cream'. Here, we describe an incidental finding of a LAMN during an early pregnancy assessment. Practitioners of early pregnancy ultrasound should be familiar with the characteristic morphology of this rare but important finding.

Indexed as

appendiceal mucocelecase reportearly pregnancyincidental findings

Identifiers

PMID38784695
PMCPMC11109991

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.