Evidence map›Paper›PMID 40297273›Full record

ArticleOxford medical case reports2025

Tangled culprit: a rare case of bezoar-induced small bowel obstruction with pulmonary Edema in a rural Guatemalan woman.

Carlos Diaz, Marcos Orellana, Javier Alarcon, Jose Maaz

Abstract read
In one paragraph

Article in Oxford medical case reports, 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

4 authors.

Carlos DiazDepartment of Research, Universidad Francisco Marroquín, Guatemala City, Guatemala.ORCID https://orcid.org/0009-0008-4177-6776
Marcos OrellanaDepartment of Research, Universidad Francisco Marroquín, Guatemala City, Guatemala.ORCID https://orcid.org/0009-0008-9773-7506
Javier AlarconDepartment of Research, Universidad Francisco Marroquín, Guatemala City, Guatemala.ORCID https://orcid.org/0009-0008-6256-4705
Jose MaazDepartment of Research, Universidad Francisco Marroquín, Guatemala City, Guatemala.ORCID https://orcid.org/0009-0003-2393-2361

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the unusual case of a 52-year-old woman from a low-resource community in Guatemala who developed small bowel obstruction, followed by acute pulmonary edema. The patient had no prior history of abdominal surgeries or significant comorbidities, making this presentation unexpected. The obstruction was caused by a bezoar and complicated by fluid overload during resuscitation. Radiologic findings revealed dilated bowel loops, suggesting bowel obstruction, and Kerley B lines, indicating concurrent pulmonary edema. This report underscores the challenges of managing complex emergencies in resource-limited settings, highlighting the importance of timely surgical intervention and careful fluid management.

Indexed as

Critical care medicineEmergency medicineGastroenterologyRespiratory disorders

Identifiers

PMID40297273
PMCPMC12035688

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.