Evidence map›Paper›PMID 40184079›Full record

ArticleMedicine2025

Fluoroscopic balloon dilation is effective for anastomotic leakage caused by compression due to intraperitoneal hematoma after ileostomy closure: A case report.

Teppei Kamada, Hironori Ohdaira, Takashi Aida, Daisuke Yamagishi, Junji Takahashi, Keigo Nakashima, Eisaku Ito, Norihiko Suzuki, Taigo Hata, Masashi Yoshida and 2 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Teppei KamadaDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.ORCID 0000-0003-3119-6176
Hironori OhdairaDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Takashi AidaDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Daisuke YamagishiDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Junji TakahashiDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Keigo NakashimaDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Eisaku ItoDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Norihiko SuzukiDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Taigo HataDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Masashi YoshidaDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Eigoro YamanouchiDepartment of Radiology, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Yutaka SuzukiDepartment of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleThere have been no reports of delayed anastomotic leakage of the ileum caused by compression of an intra-abdominal hematoma due to postoperative bleeding after ileostomy closure. PATIENT CONCERNS: We report the case of a 44-year-old man with delayed anastomotic leakage after ileostomy closure caused by the compression of an intra-abdominal hematoma that healed quickly after fluoroscopic balloon dilatation of the bowel stenosis area. DIAGNOSES: Postoperative bleeding and hemorrhagic shock occurred on postoperative day 1 after ileostomy closure. Vital signs stabilized after blood transfusion, and computerized tomography-guided drainage was successfully performed to reduce the hematoma volume. However, residual hematoma compressed the ileum on the anal side of the anastomosis, leading to delayed anastomotic leakage. INTERVENTIONS/OUTCOMES: Fluoroscopic balloon dilation of the stenotic area through the drain was successfully performed, and the anastomotic leakage healed quickly. LESSONS: In cases of small intestinal anastomotic leakage after postoperative bleeding, compression of the intestinal tract due to a hematoma should be considered. Fluoroscopic balloon dilation through a drain is an effective procedure.

Indexed as

Anastomotic LeakDilatationHematomaIleostomyPostoperative HemorrhageAdultFluoroscopyHumansMalePostoperative ComplicationsTomography, X-Ray Computed

Identifiers

PMID40184079
PMCPMC11709225

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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.