Evidence map›Paper›PMID 39669283›Full record

ArticleJournal of surgical case reports2024

Synchronous gangrenous cholecystitis and appendicitis secondary to appendiceal diverticulum perforation.

Sarah Fennelly, Marilla Dickfos, Jyothirmayi Velaga, Nezor Houli

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Sarah FennellyNorthern Health Acute General Surgery Unit, 185 Cooper Street, Epping 3076, Australia.ORCID https://orcid.org/0000-0001-5141-0446
Marilla DickfosNorthern Health Acute General Surgery Unit, 185 Cooper Street, Epping 3076, Australia.
Jyothirmayi VelagaNorthern Health Acute General Surgery Unit, 185 Cooper Street, Epping 3076, Australia.
Nezor HouliNorthern Health Acute General Surgery Unit, 185 Cooper Street, Epping 3076, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute appendicitis and acute cholecystitis are among the commonest pathologies in acute general surgery. They are characterized by distinct symptoms, clinical examination findings and typical elements of the history which direct further investigations. In the absence of these classic findings, these diagnoses can be missed, particularly where they occur synchronously. Here we present the interesting case of a 63-year-old male who presented to the emergency department with epigastric pain and vomiting with no classical appendicitis or cholecystitis findings who was found to have both appendicitis with a 3 cm collection and gangrenous cholecystitis, managed with urgent laparoscopic appendicectomy and cholecystectomy. This patient had a background of Type 2 Diabetes which may have reduced awareness of symptoms. Given the increasing prevalence of Type 2 Diabetes and the risk of rapid deterioration in these patients, this case demonstrates the importance of prompt assessment of the entire abdomen when these patients present with acute abdomen.

Indexed as

acute appendicitisacute cholecystitisgeneral surgerynecrotic gallbladderperforated appendicitistype 2 diabetes

Identifiers

PMID39669283
PMCPMC11635832

What OpenQuestion holds

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Registered trials

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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.