Evidence map›Paper›PMID 40933936›Full record

ArticleWorld journal of clinical cases2025

Fatal small bowel perforation complicating intestinal obstruction in pregnancy: A case report.

Felix Pius Omullo, Odenyo Stella Anyango, Benard Munyao Mutua, Mike Onyango Odoyo, Harambee Moses Gogo, Victor Omondi Obung'a

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of clinical cases, 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.

Felix Pius OmulloDepartment of Surgery, Murang'a County Referral Hospital, Murang'a 10200, Central, Kenya. piuskirasia@gmail.com.
Odenyo Stella AnyangoDepartment of Obstetrics and Gynecology, Makueni County Referral Hospital, Makueni 95-90300, Kenya.
Benard Munyao MutuaDepartment of Obstetrics and Gynecology, Makueni County Referral Hospital, Makueni 95-90300, Kenya.
Mike Onyango OdoyoClinic, Kenya Medical Research Institute, Kisumu 614-40100, Kenya.
Harambee Moses GogoSchool of Medicine, University of Nairobi, Nairobi 30197-00100, Kenya.
Victor Omondi Obung'aSchool of Medicine, Kenyatta University, Nairobi 43844-00100, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal obstruction (IO) in pregnancy, though rare (1:1500-1:66000), carries high maternal (6%-10%) and fetal mortality (26%). Adhesions from prior surgery are the leading cause. Diagnosis is often delayed due to symptom overlap with normal pregnancy, increasing risks of perforation and sepsis. CASE SUMMARY: A 25-year-old gravida 2 para 1 woman at 28 weeks of gestation presented with 1-week constipation, feculent vomiting, and abdominal distension. She had a history of exploratory laparotomy in 2015 for blunt abdominal trauma. The diagnosis of IO in pregnancy was confirmed

conclusionHigh clinical suspicion, expedited cross-sectional imaging (computed tomography/Magnetic resonance imaging), and emergent surgery are critical to reduce mortality.

Indexed as

AdhesionsCase reportIntestinal obstructionMaternal mortalityPregnancySmall bowel perforation

Identifiers

PMID40933936
PMCPMC12417973

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