Evidence map›Paper›PMID 39378012›Full record

ArticleSurgical case reports2024

Surgery for non-Meckel's small-bowel diverticular perforation: two case reports and a literature review.

Naoki Matsuya, Akifumi Kuwabara, Nobuhiro Morioka, Tadashi Tanabe, Nobuyuki Musha, Ken Nishikura, Toshihiro Tsubono

Abstract read
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. 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

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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.

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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

7 authors.

Naoki MatsuyaDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan. n_matsuya1003@icloud.com.ORCID http://orcid.org/0009-0006-7255-6640
Akifumi KuwabaraDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.
Nobuhiro MoriokaDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.
Tadashi TanabeDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.
Nobuyuki MushaDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.
Ken NishikuraDepartment of Pathology, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.
Toshihiro TsubonoDepartment of Surgery, Saiseikai Niigata Hospital, 280-7, Teraji, Niigata, Niigata, 950-1104, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimilar to colonic diverticula, small-intestinal diverticula are often asymptomatic, but may cause life-threatening acute complications. Non-Meckel's small-bowel diverticular perforation is rare, and the rate of mortality is high. However, there is currently no consensus regarding its therapeutic management. CASE PRESENTATION: Case 1: A 73-year-old Japanese man with localized lower abdominal pain was referred to our hospital. Enhanced computed tomography (CT) revealed diverticulitis of the small intestine, which was managed conservatively. Four days after admission, abdominal pain worsened, and repeat CT revealed extraintestinal gas. Emergency surgery was performed for the segmental resection of the perforated jejunum with anastomosis. Case 2: A 73-year-old Japanese woman was transferred to our hospital with small-bowel perforation. CT revealed scattered diverticula in the small intestine and extraintestinal gas around the small-intestinal diverticula. Emergency surgery was performed for the segmental resection of the perforated jejunum with anastomosis.

conclusionsConservative treatment for small-bowel diverticular perforation may be attempted in mild cases; however, surgical intervention should not be delayed. Segmental resection of the affected intestinal tract with an anastomosis is the standard treatment. Residual diverticula should be documented because of the possibility of diverticulosis recurrence.

Indexed as

Emergency surgeryMultiple small-intestinal diverticulaSmall intestinal perforation

Identifiers

PMID39378012
PMCPMC11461421

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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.