Evidence map›Paper›PMID 40255816›Full record

ArticleCureus2025

Preoperative Diagnosis and Indocyanine Green (ICG) Fluorescence-Guided Surgery for Uterine Broad Ligament Hernia: A Case Report.

Kosuke Kaneko, Michitoshi Takano, Tomomasa Fukasawa, Yoshin Koyama, Seiichi Yamagata

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. 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.

Kosuke KanekoDepartment of Surgery, Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Michitoshi TakanoDepartment of Surgery, Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Tomomasa FukasawaDepartment of Surgery, Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Yoshin KoyamaDepartment of Surgery, Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Seiichi YamagataDepartment of Surgery, Japan Community Healthcare Organization (JCHO) Tokyo Shinjuku Medical Center, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine broad ligament hernia is a rare cause of bowel obstruction in women, often challenging to diagnose preoperatively. We report a case of a 73-year-old woman presenting with abdominal pain and vomiting. CT imaging revealed an incarcerated small bowel loop within the Douglas pouch, with displacement of the uterus, leading to a diagnosis of strangulated bowel obstruction due to a broad ligament hernia. An emergency laparotomy identified an ileal segment trapped in a defect of the left broad ligament. The bowel appeared ischemic, but intraoperative indocyanine green (ICG) fluorescence imaging confirmed adequate perfusion, allowing for preservation without resection. The hernial defect was repaired, and the patient recovered without complications. This case highlights the importance of early CT diagnosis and the utility of ICG fluorescence imaging in assessing bowel viability, aiding surgical decision-making, and preventing unnecessary resection in cases of prolonged strangulation.

Indexed as

bowelindocyanine green (icg)obstructionsurgeryuterus

Identifiers

PMID40255816
PMCPMC12008819

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.