Evidence map›Paper›PMID 40661726›Full record

ArticleJournal of surgical case reports2025

The knotted appendix: an unusual cause of bowel obstruction: a case report.

Suleiman Ayalew Belay, Muluken Assefa Zemariam, Michael A Negussie, Mesenbet Tsegaye Ferede, Yirgedu Getu Tadele, Yonas Admaw Tiruneh, Hailemariam Yohannes Asefa

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In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Suleiman Ayalew BelaySchool of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.ORCID https://orcid.org/0000-0002-2664-9452
Muluken Assefa ZemariamDepartment of Surgery, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.
Michael A NegussieSchool of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Specialized Hospital, Churchill Avenue, Lideta Sub-City, PO Box 5657 Addis Ababa, Ethiopia.
Mesenbet Tsegaye FeredeDepartment of Surgery, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.
Yirgedu Getu TadeleDepartment of Surgery, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.
Yonas Admaw TirunehDepartment of Surgery, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.
Hailemariam Yohannes AsefaSchool of Medicine, College of Medicine and Health Sciences, University of Gondar, Maraki Street, Gondar City, Central Gondar Zone, PO Box 196 Gondar, Ethiopia.ORCID https://orcid.org/0009-0009-5199-5072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small bowel obstruction (SBO) is a common surgical emergency, but appendico-ileal knotting is an exceptionally rare cause. This condition involves the appendix forming a constricting loop around the ileum, potentially leading to closed-loop obstruction and bowel ischemia. We report the case of a 57-year-old male from Ethiopia who presented with classical features of SBO, including abdominal pain, bilious vomiting, and failure to pass stool and flatus. Imaging was inconclusive, and an exploratory laparotomy revealed appendico-ileal knotting involving the terminal ileum. The bowel was viable, and a simple appendectomy was performed. The patient had an uneventful recovery and was discharged on postoperative Day 5. Histopathology confirmed acute appendicitis with mucocele. This case underscores the diagnostic challenge of this rare condition and emphasizes the need for early surgical intervention to avoid complications.

Indexed as

appendicular knotcase reportsmall bowel obstructionstrangulated

Identifiers

PMID40661726
PMCPMC12257082

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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.