Evidence map›Paper›PMID 40026972›Full record

ArticleCureus2025

Anal Sphincter Disruption in Open Pelvic Fractures: A Case Report Highlighting the Importance of Early Intervention.

Rafique Umer Harvitkar, Alfredo Tonsi, Hussein Al-Najjar, Ioannis Hannadjas, Mariyam Shaheed

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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. Comparison of obstetric and non-obstetric anal sphincter injuries: Surgical outcomes and Jorge Wexner score analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    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

5 authors.

Rafique Umer HarvitkarGeneral Surgery, Royal Sussex County Hospital, Brighton, GBR.
Alfredo TonsiGastrointestinal Surgery, Royal Sussex County Hospital, Brighton, GBR.
Hussein Al-NajjarGeneral Surgery, Royal Sussex County Hospital, Brighton, GBR.
Ioannis HannadjasGeneral Surgery, Royal Sussex County Hospital, Brighton, GBR.
Mariyam ShaheedGeneral Surgery, Royal Sussex County Hospital, Brighton, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anal sphincter injuries, often accompanying perineal trauma, are closely associated with pelvic fractures (PFs). If unrecognized and untreated, these injuries can lead to sepsis and fecal incontinence. We present the case of a 25-year-old male patient who sustained severe trauma, resulting in unstable open PFs and associated perineal injuries, including anal sphincter damage. The patient was managed with an early diverting colostomy to prevent pelvic sepsis, followed by staged reconstruction of the pelvic ring. This case underscores the importance of a systematic and thorough approach to managing sphincter injuries in post-trauma care. Clinicians must maintain a high index of suspicion for perineal injuries in patients with open PFs, as early intervention can significantly improve functional outcomes.

Indexed as

anal sphincter injurydiverting colostomypelvic fractureperineal injurysepsis

Identifiers

PMID40026972
PMCPMC11870779

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.