Evidence map›Paper›PMID 41393138›Full record

ArticleFrontiers in medicine2025

A sharp plant stem causing terminal ileal perforation with clinical presentation resembling acute appendicitis: a case report.

Pirada Yincharoen, Weeratian Tawanwongsri

Abstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 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

2 authors.

Pirada YincharoenDepartment of Surgery, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.
Weeratian TawanwongsriDepartment of Internal Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ingestion of plant material is an unusual cause of small-bowel perforation and can have a clinical appearance similar to acute appendicitis. Case description: A 40-year-old Thai man presented with a 1-day history of right lower quadrant pain and low-grade fever. Laboratory testing showed leukocytosis. Contrast-enhanced computed tomography (CT) demonstrated a mildly dilated appendix, 7 mm, without periappendiceal fat stranding, free air, abscess, or visible foreign body. Because localized peritonism persisted despite equivocal imaging, exploratory laparotomy via a Lanz incision was undertaken. A 2.5-cm, needle-like wooden fragment was palpated within the terminal ileum, causing a localized perforation; it was subsequently identified as the lateral stem of Conclusion: This case illustrates the limitations of imaging in the case of small-bowel perforation, and contributes to the literature on plant material ingestion as a cause of acute abdomen in the context of regions where such foods are consumed.

Indexed as

abdominal painappendicitiscase reportforeign bodiesintestinal perforationplants

Identifiers

PMID41393138
PMCPMC12698559

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.