Evidence map›Paper›PMID 40584539›Full record

ArticleSAGE open medical case reports2025

A unique case of gastrointestinal bleeding with splenomegaly.

Can Gan, Shihang Tang

Abstract readCase Reports
In one paragraph

Article in SAGE open 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

2 authors.

Can GanDepartment of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.
Shihang TangDepartment of Gastroenterology, Chongqing University Cancer Hospital, China.ORCID https://orcid.org/0000-0002-3488-2246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 61-year-old man with a 30-year history of iron-deficiency anemia and recurrent gastrointestinal bleeding, accompanied by splenomegaly and hypersplenism. Despite multiple endoscopy and imaging examinations, the source of bleeding remained elusive. The patient ultimately underwent exploratory laparotomy with splenectomy, which revealed a Meckel's diverticulum with stale hemorrhage, along with congestive changes in the spleen. Following surgery, the patient experienced a complete resolution of symptoms with normalization of hematological parameters. This case highlights Meckel's diverticulum as a rare cause of obscure gastrointestinal bleeding, with the unique presentation of splenomegaly due to extramedullary hematopoiesis.

Indexed as

extramedullary hemopoiesisgastrointestinal bleedinghypersplenismMeckel’s diverticulumsplenomegaly

Identifiers

PMID40584539
PMCPMC12205179

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.