Evidence map›Paper›PMID 41466778›Full record

ArticleJournal of surgical case reports2026

Obscure gastrointestinal bleeding: case report of ectopic pancreas associated with small bowel angiodysplasia.

Fernando Girardi da Silva, Claudio Lucas Silva Cunha, Marina Capovilla Venturini Souza, Ana Luísa Costa Bezerra, Alexandre Foratto, Cesar Vanderlei Carmona, Talita Sansoni, Vânia Graner Silva Pinto, Thiago R A Calderan, Vitor Favali Kruger and 3 more

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. 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

13 authors.

Fernando Girardi da SilvaDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Claudio Lucas Silva CunhaDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Marina Capovilla Venturini SouzaDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Ana Luísa Costa BezerraDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Alexandre ForattoDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Cesar Vanderlei CarmonaDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Talita SansoniDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.ORCID https://orcid.org/0000-0003-0031-1442
Vânia Graner Silva PintoDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Thiago R A CalderanDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Vitor Favali KrugerDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Simone Reges PeralesDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Elcio Shiyoiti HiranoDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.
Gustavo Pereira FragaDivision of Trauma Surgery, University of Campinas (Unicamp), Rua Vital Brasil, 251, Cidade Universitária Zeferino Vaz, Campinas, SP 13083-887, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obscure gastrointestinal bleeding (OGIB) is defined as bleeding not identified by standard endoscopy or colonoscopy and requires advanced diagnostic modalities. Ectopic pancreas is a rare congenital anomaly, usually asymptomatic but occasionally presenting with abdominal pain, obstruction, or gastrointestinal bleeding. We report a 23-year-old female admitted with melena and hemodynamic instability. Initial investigations were inconclusive. Persistent bleeding led to urgent laparotomy, which revealed jejunal nodular lesions. Segmental enterectomy was performed, with favorable recovery. Histology confirmed ectopic pancreatic tissue associated with jejunal angiodysplasia. This rare association highlights diagnostic and therapeutic challenges of OGIB and the importance of surgical intervention in unstable patients.

Indexed as

angiodysplasiaectopic pancreasjejunumobscure gastrointestinal bleeding

Identifiers

PMID41466778
PMCPMC12744391

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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.