Evidence map›Paper›PMID 41450411›Full record

ArticleCureus2025

A Stoma's Stowaway: A Rare Case of Parastomal Herniation of the Gallbladder.

Philip Macanovic, Zachary James-Knights, Ame Saidy, Tarek Elshafey, Muhammad Effendi

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. 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

5 authors.

Philip MacanovicGeneral Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.
Zachary James-KnightsGeneral Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.
Ame SaidyGeneral Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.
Tarek ElshafeyGeneral Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.
Muhammad EffendiGeneral Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parastomal herniation (PSH) of visceral organs represents an exceptionally uncommon phenomenon, most often encountered in surgically complex, multimorbid patients. These cases often present significant diagnostic and surgical challenges. Involvement of the gallbladder is particularly uncommon but clinically important, due to the potential risk of complications such as cholecystitis, torsion, and perforation. We describe a case of gallbladder-containing PSH in a 76-year-old female with an extensive surgical history and ileostomy in situ. The hernia was initially managed with manual reduction, which successfully restored the gallbladder to its anatomical position. Subsequently, the patient developed gallstone pancreatitis, necessitating endoscopic retrograde cholangiopancreatography (ERCP). This report underscores the clinical uncertainty surrounding the choice between conservative and operative strategies in this high-risk cohort. Although conservative approaches may be feasible in select cases, the long-term durability of non-operative management and the risk of recurrence or delayed biliary complications remain unclear. Currently, there is no consensus on the optimal surgical management of these presentations, and decisions are guided by individual case characteristics. This report emphasises the importance of early imaging, vigilant monitoring, and a multidisciplinary approach to optimise patient outcomes.

Indexed as

computed tomographyendoscopic retrograde cholangiopancreatographygallbladdergallstone pancreatitisileostomypancreatitisparastomal hernia

Identifiers

PMID41450411
PMCPMC12729440

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.