Evidence map›Paper›PMID 40842489›Full record

ArticleJournal of surgical case reports2025

A rare case of para-vesical internal hernia presenting with complete small bowel obstruction managed in a resource-limited setting.

Dereje G Andargie, Chernet T Mengistie, Biruk T Mengistie, Yonas T Habtemariam, Worku M Sefefe, Biniam E Zelelew

Abstract readCase Reports
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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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.

Dereje G AndargieDepartment of Surgery, College of Medicine and Health Sciences, University of Rwanda, KN 3 Rd, Nyarugenge District, Kigali City, Kigali Province 4285, Rwanda.
Chernet T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Street, Arada Sub-City, Addis Ababa 9086, Ethiopia.ORCID https://orcid.org/0009-0009-0061-6458
Biruk T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Street, Arada Sub-City, Addis Ababa 9086, Ethiopia.
Yonas T HabtemariamDepartment of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Pawi Road, Kebele 14, Bahir Dar City, Amhara Region 79, Ethiopia.
Worku M SefefeDepartment of Surgery, College of Medicine and Health Sciences, Debre Markos University, Amanuel Street, Debre Markos Town, East Gojjam Zone, Amhara Region 269, Ethiopia.
Biniam E ZelelewUniversity of Global Health Equity (UGHE), Butaro Campus, Butaro Sector, Burera District, Northern Province 7078, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Para-vesical internal hernias are rare but serious complications of abdominal surgeries and can present as small bowel obstruction (SBO). We report the case of a 30-year-old woman with a history of Cesarean delivery 9 years prior, who presented with crampy abdominal pain, bilious vomiting, and obstipation. Imaging revealed findings consistent with SBO. Exploratory laparotomy confirmed a para-vesical internal hernia with patchy ischemia of the bowel. The hernia was reduced, and the defect was repaired. The patient recovered uneventfully and was discharged on postoperative day five. This case highlights the importance of considering internal hernias in the differential diagnosis of SBO in patients with prior abdominal surgery. Early surgical intervention is critical to prevent bowel ischemia and further complications.

Indexed as

Cesarean section complicationspara-vesical internal herniasmall bowel obstruction

Identifiers

PMID40842489
PMCPMC12366783

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.