Evidence map›Paper›PMID 40443859›Full record

ArticleOxford medical case reports2025

Twist of Fate: Life-Threatening SMA Thrombosis Caused by Mesenteric Torsion Post-Roux-en-Y Weight Loss.

Mohamed Ayman Ebrahim, Shahin Isha, Andranik Bedross, Parth Patel, Ashok Kumar

Abstract readCase Reports
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

5 authors.

Mohamed Ayman EbrahimAscension Saint Joseph Hospital, Internal Medicine Department, Chicago, IL,  USA.ORCID https://orcid.org/0000-0001-8809-5005
Shahin IshaMayo Clinic in Florida, Critical Care Medicine, Ascension Saint Joseph Hospital, Internal Medicine, Chicago, IL,  USA.ORCID https://orcid.org/0000-0002-6613-6395
Andranik BedrossAscension Saint Joseph Hospital, Internal Medicine Department, Chicago, IL,  USA.
Parth PatelAscension Saint Joseph Hospital, Internal Medicine Department, Chicago, IL,  USA.
Ashok KumarAscension Saint Joseph Hospital, Internal Medicine Department, Chicago, IL,  USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Superior mesenteric artery (SMA) thrombosis is rare yet critical illness that can result in lethal bowel ischemia and infarction. This report details a case of SMA thrombosis with associated superior mesenteric vein (SMV) narrowing, secondary to mesenteric torsion in a 26-year-old female with history of Roux-en-Y gastric bypass surgery. The patient's presenting symptoms were severe epigastric pain, vomiting, and significant anemia. Imaging confirmed SMA thrombosis with early signs of bowel ischemia. Interventional radiology promptly performed an SMA angiogram and initiated thrombolysis with a tenecteplase infusion, which led to near-complete resolution of the thrombus. This case draws attention to the necessity for early diagnosis and swift management of SMA thrombosis, particularly in post-surgical patients with altered gastrointestinal anatomy. The resolution of this case demonstrates the value of a collaborative care, combining interventional radiology and general surgery to prevent bowel ischemia.

Indexed as

and medical imaginggastroenterologygeneral surgerynuclear medicinepainradiology

Identifiers

PMID40443859
PMCPMC12118077

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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.