Evidence map›Paper›PMID 38828786›Full record

ArticleJournal of investigative medicine high impact case reports

Hepatic Encephalopathy Secondary to Non-cirrhotic Portosystemic Shunt.

Bhavi Trivedi, Amish Parikh, Monica Botros, Alejandro Robles, Shaked Laks, Marc Zuckerman

Abstract readCase Reports
In one paragraph

Article in Journal of investigative medicine high impact case reports. 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. Review
  2. Article
  3. Review
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.

Bhavi TrivediTexas Tech University Health Sciences Center El Paso, USA.ORCID 0000-0002-2743-3100
Amish ParikhTexas Tech University Health Sciences Center El Paso, USA.
Monica BotrosTexas Tech University Health Sciences Center El Paso, USA.
Alejandro RoblesTexas Tech University Health Sciences Center El Paso, USA.
Shaked LaksTexas Tech University Health Sciences Center El Paso, USA.
Marc ZuckermanTexas Tech University Health Sciences Center El Paso, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatic encephalopathy is uncommon in the absence of cirrhosis. We report a 71-year-old woman who presented with altered mental status in the setting of hyperammonemia for the second time in 6 months. Magnetic resonance imaging of the abdomen revealed an uncommon portosystemic shunt involving an enlarged posterior branch of the right portal vein and an accessory right hepatic vein, with no features of cirrhosis. Appropriate management of these patients with ammonia-lowering therapy can reduce repeat episodes and improve quality of life. This case demonstrates the importance of diagnosing non-cirrhotic hepatic encephalopathy in patients with altered mental status.

Indexed as

Hepatic EncephalopathyHyperammonemiaMagnetic Resonance ImagingPortal VeinAgedFemaleHepatic VeinsHumanscirrhosishepatic encephalopathyportosystemic shunt

Identifiers

PMID38828786
PMCPMC11149437

What OpenQuestion holds

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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.