Evidence map›Paper›PMID 41952947›Full record

ArticleCureus2026

Left Atrial Isomerism in a Four-Year-Old Girl Diagnosed due to Gastrointestinal Bleeding: A Case Report.

Ken Matsushita, Yoichi Iwamoto, Hirotaka Ishido, Naomi Ino, Yuta Uchida, Kohei Osada, Yoshio Sakurai, Satoshi Masutani

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

8 authors.

Ken MatsushitaPediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Yoichi IwamotoPediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Hirotaka IshidoPediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Naomi InoPediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Yuta UchidaPediatric Intensive Care, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Kohei OsadaPediatric Intensive Care, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Yoshio SakuraiPediatric Intensive Care, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Satoshi MasutaniPediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heterotaxy is characterized by the presence of multisystem comorbidities, some of which may result in fatal outcomes. However, diagnosing left atrial isomerism (LAI), a form of heterotaxy, at an early age can be challenging in the absence of typical findings. A four-year-old girl presenting with hypovolemic shock resulting from esophageal variceal bleeding was transported to Saitama Medical Center, Japan, and was diagnosed with LAI post-admission. LAI had not been diagnosed prior to her hospital admission, even though she underwent intracardiac repair for atrioventricular septal defect at 10 months of age. The condition of the patient was characterized by the presence of a duplicated inferior vena cava (IVC), and not by an IVC defect, which is typically associated with LAI. The prevalence of duplicated IVCs in patients with heterotaxy remains unclear. Duplicated IVCs can be detected by abdominal ultrasonography, and an understanding of anatomical variations in the venous pathway may be helpful for the early diagnosis of heterotaxy.

Indexed as

atrioventricular septal defectduplicated inferior vena cavaesophageal and gastric varicesheterotaxy syndrome (hs)hypovolemic shockpolysplenia

Identifiers

PMID41952947
PMCPMC13054770

What OpenQuestion holds

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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.