Evidence map›Paper›PMID 40535385›Full record

ArticleCureus2025

A Post-surgical Collection Is Not Just a Collection: A Case Report of Colorectal Cancer Metastasis.

Anurag Agarwal, Sjaak Pouwels, Ahmed Ahmed, Suhaib Ahmad

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. 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.

Anurag AgarwalDepartment of General Surgery, Apollo Hospitals, Bangalore, IND.
Sjaak PouwelsDepartment of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, NLD.
Ahmed AhmedDepartment of General Surgery, Imperial College London, London, GBR.
Suhaib AhmadDepartment of General Surgery, Ysbyty Gwynedd Hospital, Bangor, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subdiaphragmatic metastases in colorectal cancer are rare and can present as persistent intra-abdominal collections post-surgery. An elderly male in his mid-70s with colorectal adenocarcinoma (pT4a pN1c R0) developed a chronic subdiaphragmatic collection after undergoing an emergency right hemicolectomy for an obstructing tumor. Initially presumed to be a benign post-surgical complication, the collection persisted despite standard management. Subsequent investigation revealed metastatic adenocarcinoma, highlighting an uncommon metastatic pattern. This case highlights the need for a high index of suspicion in post-surgical patients when conventional explanations fail to explain clinical progression. Early consideration of metastatic disease and timely tissue sampling can significantly impact management and prognosis. This case reinforces the importance of clinical vigilance, advanced imaging, and multidisciplinary collaboration in recognizing rare metastatic patterns and optimizing treatment strategies in complex oncologic care.

Indexed as

colon cancer recurrencecolon cancer survillencecolo-rectal cancergastro-intestinal surgerymetastatic colo-rectal cancer

Identifiers

PMID40535385
PMCPMC12175974

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.