Evidence map›Paper›PMID 41179581›Full record

ArticleJournal of surgical case reports2025

Intrathoracic appendicitis within a left-sided Bochdalek hernia: a case report.

Jasser Rchidi, Yassine Kallel, Ghazi Laamiri, Houda Gazzah, Mahdi Bouassida, Hassen Touinsi, Siwar Sbaihi, Mahmoud Derbel, Fatma Gabsi, Khaled Bouzaidi

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 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

10 authors.

Jasser RchidiDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.ORCID https://orcid.org/0009-0006-7608-1929
Yassine KallelDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Ghazi LaamiriDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Houda GazzahDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Mahdi BouassidaDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.ORCID https://orcid.org/0000-0002-4624-1905
Hassen TouinsiDepartment of General Surgery, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Siwar SbaihiDepartment of Radiology, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Mahmoud DerbelDepartment of Radiology, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Fatma GabsiDepartment of Radiology, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.
Khaled BouzaidiDepartment of Radiology, Mohamed Taher Maamouri University Hospital, Ezzedine Chelbi Avenue, Hammamet Nabeul 8000, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bochdalek hernias are rare congenital defects usually diagnosed in infancy, and their presentation in adults is uncommon. Even rarer is the occurrence of acute appendicitis within a Bochdalek hernia; to date, only two adult cases have been reported, both involving right-sided or unspecified hernias. We describe a 21-year-old previously healthy man who presented with sudden left-sided chest pain and mild respiratory symptoms. Imaging identified a left posterolateral diaphragmatic hernia containing bowel loops and an inflamed appendix. He underwent emergency laparotomy with appendectomy and primary repair of the diaphragmatic defect without mesh due to contamination risk. Histopathology confirmed acute suppurative appendicitis. The patient's recovery was uneventful, and he remained well at follow-up. This case underscores the diagnostic challenge posed by atypical thoracic presentations of abdominal pathology and highlights the critical role of computed tomography in enabling timely surgical intervention.

Indexed as

appendicitisBochdalek herniadiaphragmatic herniaincarcerated bowel

Identifiers

PMID41179581
PMCPMC12575106

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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.