Evidence map›Paper›PMID 41098265›Full record

ArticleCureus2025

Sigmoid Diverticular Stricture With Large Bowel Obstruction, Hepatic Flexure Perforation, and Nonfatal Retroperitoneal Necrotizing Fasciitis Extending to the Neck.

Mohammad Shiraz, Mohammad A Waseq Hossain, Elisabeth Drye

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. 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

3 authors.

Mohammad ShirazGeneral Surgery, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough, GBR.
Mohammad A Waseq HossainGeneral Surgery, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough, GBR.
Elisabeth DryeGeneral Surgery, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most prevalent type of colonic diverticulum is sigmoid diverticulosis. Nevertheless, complications such as stricture formation, potentially leading to intestinal obstruction, are quite rare. Another uncommon consequence is perforation, which can, in exceptional cases, result in necrotizing fasciitis; however, spread to distant fascial planes is extremely unusual. We present a remarkable case of a 61-year-old man who presented with sigmoid diverticular stricture causing large bowel obstruction and perforation. This resulted in extensive necrotizing fasciitis tracking from the retroperitoneum through the chest and into the cervical region. Despite the severity, the patient survived after undergoing an emergency laparotomy, total colectomy, serial debridements, and negative pressure wound therapy. This case highlights a unique complication of diverticular disease with an exceptionally favorable outcome.

Indexed as

bowel obstructionbowel perforationnecrotizing fasciitissigmoid diverticular stricturetotal colectomy

Identifiers

PMID41098265
PMCPMC12519040

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.