Evidence map›Paper›PMID 40821280›Full record

ArticleCureus2025

Spontaneous Celiac Artery Dissection With Severe Pain Disproportionate to Lack of Prominent Tenderness and Limited Diagnostic Value of D-dimer and C-reactive Protein: A Case Report and Literature Review.

Kenta Kanda, Yo Hattori, Shingo Suzuki

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Kenta KandaDepartment of Internal Medicine, Chiba Central Medical Center, Chiba, JPN.
Yo HattoriDepartment of Surgery, Chiba Central Medical Center, Chiba, JPN.
Shingo SuzukiDepartment of Internal Medicine, Chiba Central Medical Center, Chiba, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous celiac artery dissection (SCAD) typically presents with acute abdominal or back pain, although some patients are asymptomatic. We report a case of a 75-year-old woman who experienced sudden severe epigastric pain; SCAD was diagnosed using contrast-enhanced computed tomography (CT). Conservative management resolved her symptoms. A literature review of 256 SCAD cases, including ours, revealed that most cases exhibit a sudden or acute onset and severe pain disproportionate to mild or absent tenderness, with normal D-dimer and C-reactive protein levels. These findings highlight the importance of considering SCAD in cases of unexplained severe abdominal pain, warranting contrast-enhanced CT imaging even when the laboratory results are normal.

Indexed as

contrast-enhanced computed tomography (cect)c-reactive protein (crp)d-dimer levelsphysical examinationspontaneous celiac artery dissection

Identifiers

PMID40821280
PMCPMC12352935

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.