Evidence map›Paper›PMID 40814586›Full record

ArticleJPGN reports2025

Hematochezia: An abnormal presenting symptom of an extensive vascular malformation in a 6-year-old boy.

Kathleen Ordas, Joy Brusenback, Sahana Ummadi, Shannon Tocchio, Razan Alkhouri, Soha Shah

Abstract read
In one paragraph

Article in JPGN reports, 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

6 authors.

Kathleen OrdasDepartment of Pediatrics University of New Mexico Albuquerque New Mexico USA.
Joy BrusenbackDepartment of Pediatrics University of New Mexico Albuquerque New Mexico USA.
Sahana UmmadiSchool of Medicine University of New Mexico Albuquerque New Mexico USA.
Shannon TocchioDivision of Pediatric Radiology, Department of Radiology University of New Mexico Albuquerque New Mexico USA.
Razan AlkhouriDivision of Pediatric Gastroenterology, Department of Pediatrics University of New Mexico Albuquerque New Mexico USA.ORCID https://orcid.org/0009-0002-2096-6198
Soha ShahDepartment of Pediatrics University of New Mexico Albuquerque New Mexico USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal (GI) bleeding can be a common symptom in the pediatric population. Vascular malformations, which cause symptoms based on their location and effect on surrounding structures, are an uncommon cause of GI bleeding. We present the case of a 6-year-old male with a 1-year history of hematochezia, constipation, and microcytic anemia. Physical exam demonstrated a firm, mobile, non-circumferential anal mass measuring 4 cm in diameter, and located predominantly at the right-anterior bowel wall. Initial imaging, including abdominal radiograph and abdominal ultrasound, was unremarkable. Colonoscopy was visually and histologically negative. Magnetic resonance imaging of the pelvis showed an extensive pelvic venous-lymphatic malformation in the left hemipelvis, with extension to the right hemipelvis and left lower extremity, displacement of the rectum and colon, and protrusion into the anal canal. He was started on Sirolimus with symptom improvement. This case discusses a rare presentation of a pediatric vascular malformation presenting with a protruding anal mass.

Indexed as

anemiagastrointestinal bleedpediatric

Identifiers

PMID40814586
PMCPMC12350029

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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.