Evidence map›Paper›PMID 40542374›Full record

ArticleInternational journal of emergency medicine2025

Accessory spleens, mixed hiatal hernia, and incisional hernias: a complex case of multidisciplinary surgical management.

Hamdah Hanifa, Mohi Alddin Moustafa Mahouk, Fadiah Hazem Albaroudi, Enas Saleem Khallouf, Dana Abu Nokta, Ranim Alrihani, Basil Alsaleh, Youssef Zeeb, Ramez Altair, Malek AlBalkhi and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of emergency medicine, 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

12 authors.

Hamdah HanifaFaculty of Medicine, University of Kalamoon, Al-Nabk, Syria.ORCID http://orcid.org/0000-0003-2970-7379
Mohi Alddin Moustafa MahoukFaculty of Medicine, University of Kalamoon, Al-Nabk, Syria.ORCID http://orcid.org/0009-0002-7451-981X
Fadiah Hazem AlbaroudiFaculty of Pharmacy, University of Kalamoon, Al-Nabk, Syria.ORCID http://orcid.org/0009-0008-0164-6790
Enas Saleem KhalloufFaculty of Pharmacy, Al-Wataniya Private University, Hama, Syria.
Dana Abu NoktaFaculty of Medicine, University of Kalamoon, Al-Nabk, Syria. dotnoq1@gmail.com.ORCID http://orcid.org/0009-0006-2564-2909
Ranim AlrihaniFaculty of Medicine, University of Kalamoon, Al-Nabk, Syria.ORCID http://orcid.org/0009-0005-5154-3026
Basil AlsalehFaculty of Medicine, Tbilisi State Medical University, Tbilisi, Georgia.ORCID http://orcid.org/0009-0002-6614-1204
Youssef ZeebDepartment of General Surgery, Harasta National Hospital, Damascus, Syria.
Ramez AltairDepartment of General Surgery, Harasta National Hospital, Damascus, Syria.
Malek AlBalkhiDepartment of General Surgery, Harasta National Hospital, Damascus, Syria.
Rawad AsamiDepartment of General Surgery, Harasta National Hospital, Damascus, Syria.
Abdullah Shekh NajjarenDepartment of General Surgery, Harasta National Hospital, Damascus, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccessory spleens, arising from incomplete fusion during embryogenesis, are frequent developmental anomalies detected incidentally in abdominal imaging studies. Despite surgical advancements, post-laparotomy incisional hernias persist, while hiatal hernias, common in older adults, often present asymptomatically. CASE PRESENTATION: A 55-year-old male presented with abdominal pain, chronic vomiting, and gastrointestinal bleeding. Evaluation unveiled a mixed hiatal hernia alongside multiple accessory spleens, necessitating surgical intervention. A midline incision facilitated adhesion release, hernia repair, and a 360-degree Nissen fundoplication. Postoperatively, the patient stabilized, discharged with a liquid diet and medications. Histopathological analysis confirmed benign findings, emphasizing successful complex abdominal condition management.

conclusionComprehensive assessment is vital for patients with intricate gastrointestinal symptoms and surgical histories. Accurate diagnosis and intervention, encompassing accessory spleen excision and hernia repair, resulted in notable clinical enhancement devoid of complications.

Indexed as

Accessory spleenCase reportHiatal herniaIncisional herniaMultimorbidityNissen fundoplicationSplenectomy

Identifiers

PMID40542374
PMCPMC12181916

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.