Evidence map›Paper›PMID 39517018›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2023

Surgically treated purulent pericarditis induced by ingested fish bone: a case report.

Yoshifumi Itoda, Toshiya Fukushima, Shuhei Kawamoto, Motoharu Shimozawa, Retsu Tateishi, Fumiya Haba, Shunya Ono, Yoshinori Nakahara, Takeyuki Kanemura

Abstract read
In one paragraph

Article in General thoracic and cardiovascular surgery cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. More than chest pain: A case of oesophageal foreign body ingestion.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    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

9 authors.

Yoshifumi ItodaDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan. yitoda30@gmail.com.
Toshiya FukushimaDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Shuhei KawamotoDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Motoharu ShimozawaDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Retsu TateishiDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Fumiya HabaDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Shunya OnoDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Yoshinori NakaharaDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.
Takeyuki KanemuraDepartment of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAspiration of fish bones is common, but perforation of the gastrointestinal tract is very rare. Once perforation occurs, fatal complications such as mediastinitis and cardiac tamponade can occur. Here, we present a case of acute pericarditis due to perforation of a fish bone. CASE PRESENTATION: A 66-year-old woman was referred to our hospital with shortness of breath. Blood tests showed high C-reactive protein, and contrast-enhanced computed tomography showed a large amount of pericardial fluid as well as a foreign body with high bone density in the pericardial sac. Upper gastrointestinal endoscopy showed no evidence of penetration of the esophageal or gastric mucosa. Emergency open chest surgery was performed, and the pericardial sac was filled with copious amounts of pus. The fish bone-like foreign body was found to penetrate the pericardial membrane from the diaphragmatic side. The foreign body was removed, a drainage tube was placed, and the chest was closed. After 2 weeks of postoperative antibiotics, the patient was discharged from the hospital in stable general condition. Three months after the surgery, the patient had no recurrence of pericarditis.

conclusionsWe reported a rare case of gastrointestinal perforation by a fish bone, resulting in pericardium, which was treated by surgical drainage.

Indexed as

Esophageal perforationIngested foreign bodyPurulent pericarditis

Identifiers

PMID39517018
PMCPMC11533534

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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.