Evidence map›Paper›PMID 40728593›Full record

ReviewDigestive diseases and sciences2025

Pneumatosis Intestinalis Secondary to Appendicitis: What Do We Know?

Spencer Zaheri, Christopher Stevens, Kevin Malone, Sergio Alvarado

Abstract readCase ReportsReview
In one paragraph

Review in Digestive diseases and sciences, 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.

Spencer ZaheriLSU Health Shreveport School of Medicine, 1501 Kings Highway, Shreveport, LA, 71103, USA.
Christopher StevensLSU Health Shreveport School of Medicine, 1501 Kings Highway, Shreveport, LA, 71103, USA. cmstevens2025@gmail.com.
Kevin MaloneBaylor Scott and White Medical Center Department of Emergency Medicine, 2401 S 31st St, Temple, TX, 76508, USA.
Sergio AlvaradoLSU Health Shreveport Department of Radiology, 1501 Kings Highway, Shreveport, LA, 71103, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHerein, we present a unique case in which pneumatosis intestinalis (PI) presented in a middle-aged patient in association with appendicitis and include the first review of all known cases of concomitant PI with acute appendicitis.

methodsInclusion criteria included ages greater than 28 days and all known cases of appendicitis with findings of PI. Databases searched included PubMed, ResearchGate, Google Scholar, and Medline. Title, abstract, and body content were searched for keywords including "appendicitis," "appendix," "pneumatosis intestinalis," "gas," "bowel," "lumen," and "intramural." This resulted in 11 reports, not including our case.

resultsOur findings suggest that middle-aged men with a history of obesity, hypertension, and type II diabetes mellitus are the most vulnerable to PI-associated appendicitis and most of these presentations can be diagnosed via CT.

conclusionWe present the 12th case and first literature review of all known cases of PI secondary to acute appendicitis. Contrasting the cases of this study with typical appendicitis, patients with PI with appendicitis are older, present later, most require critical abdominal surgery, and will have an extended hospital stay.

Indexed as

AppendicitisPneumatosis Cystoides IntestinalisAppendectomyHumansMaleMiddle AgedTomography, X-Ray ComputedAppendicitisComputed TomographyPneumatosis IntestinalisSurgery

Identifiers

PMID40728593
PMCPMC12689835

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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.