Evidence map›Paper›PMID 41522796›Full record

ArticleCase reports in gastrointestinal medicine2026

Myelodysplastic Syndrome With Complex Chromosomal Karyotype Abnormalities Complicated by Multiple Intestinal Perforations: A Case Report and Literature Review.

Zhan-Yue Niu, Ming-Fei Zhu, Ming Tao, Cheng Zhang, Fang Gu, Jun Li

Abstract read
In one paragraph

Article in Case reports in gastrointestinal medicine, 2026. 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

6 authors.

Zhan-Yue NiuDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0000-0002-8017-1787
Ming-Fei ZhuDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0009-0003-0557-1056
Ming TaoDepartment of General Surgery, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0000-0002-8647-6178
Cheng ZhangDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0009-0005-7535-2144
Fang GuDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0009-0009-0568-0184
Jun LiDepartment of Gastroenterology, Peking University Third Hospital, No. 49 Huayuan North Road Haidian District, Beijing, China, puh3.net.cn.ORCID https://orcid.org/0000-0002-4205-4889

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myelodysplastic syndromes (MDSs) are clonal hematopoietic disorders often associated with cytogenetic abnormalities, among which trisomy 8 is one of the most common abnormalities. Trisomy 8 is linked to autoimmune manifestations, including Behçet-like disease, especially with gastrointestinal involvement. Case Presentation: We report a rare and severe case of a 59-year-old male with MDS characterized by a complex abnormal karyotype, including trisomy 8, accompanied by multiple ileal perforations and intestinal ulcers resembling Behçet's disease. Despite surgical intervention and broad-spectrum antimicrobials, recurrent symptoms persisted. A combination of corticosteroids and thalidomide ultimately led to clinical and hematologic improvement. Methods: Clinical, radiologic, histopathologic, and cytogenetic data were collected. Literature review was conducted to contextualize diagnostic criteria and treatment strategies. Results: The patient showed hematologic and symptomatic improvement following immunosuppressive therapy. Chromosome karyotype analysis revealed chromosomal numerical abnormalities, including trisomy of chromosomes 8, 9, and 15 and the presence of an extra Y chromosome. Gastrointestinal involvement with recurrent perforations was attributed to Behçet-like intestinal disease. Conclusion: This case underscores the aggressive clinical course and diagnostic challenges of Behçet-like disease associated with MDS and trisomy 8, highlighting the importance of early recognition and immune-targeted therapy.

Indexed as

Behçet-like diseasecomplex chromosomal karyotypemyelodysplastic syndrome (MDS)small bowel perforationtrisomy 8

Identifiers

PMID41522796
PMCPMC12781854

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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.