Evidence map›Paper›PMID 41869164›Full record

ArticleCureus2026

Primary Small Intestinal Volvulus in a 91-Year-Old Patient: A Rare Case of Successful Laparotomy With Resection and Anastomosis.

Yasmeen S Rahmi, Nisreen M Awad, Rama N Alshanawani, Ibrahim Elnogoomi

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

4 authors.

Yasmeen S RahmiGeneral Surgery, College of Medicine, University of Sharjah, Sharjah, ARE.
Nisreen M AwadGeneral Surgery, College of Medicine, University of Sharjah, Sharjah, ARE.
Rama N AlshanawaniGeneral Surgery, College of Medicine, University of Sharjah, Sharjah, ARE.
Ibrahim ElnogoomiGeneral Surgery, Kuwait Hospital Sharjah, Sharjah, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary small intestinal volvulus (PSIV) is a rare cause of acute bowel obstruction in adults and is exceptionally uncommon in the very elderly. It occurs when the small intestine twists around its mesenteric axis without an identifiable secondary cause, such as adhesions or hernias. This case report describes a 91-year-old woman who presented with abdominal pain and minimal rectal bleeding, posing a diagnostic challenge in the context of multiple comorbidities and atypical symptoms. CT imaging demonstrated a persistent "whirlpool sign," raising suspicion for volvulus, and the patient underwent emergency laparotomy with detorsion and resection of nonviable segments. Despite advanced age and high perioperative risk, the patient achieved a favorable postoperative outcome following timely surgical intervention. This case highlights the diagnostic difficulty of PSIV in the very elderly population and underscores the importance of early operative management to prevent progression to bowel ischemia and reduce morbidity and mortality.

Indexed as

acute small bowel obstructioncase reportintestinal resection and anastomosisjejunal diverticulosisprimary small intestinal volvulus

Identifiers

PMID41869164
PMCPMC13002920

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.