ArticleIDCases2026
Necrosis of the diaphragm pleural empyema and pneumomediastinum as rare complications of appendicitis: A case report.
Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Appendicitis is one of the most common surgical emergencies in general surgery. To our knowledge, this is the first reported case of diaphragmatic necrosis associated with appendicitis. Case: A 38-year-old male north African patient with no past medical history presented with fever and right lower quadrant pain, for which he started oral self-medication with ibuprofen. Clinical and radiological examinations revealed perforated appendicitis with right-sided pleural empyema and pneumomediastinum. During the initial surgical procedure, we performed an appendicectomy, inserted a chest tube and administered a broad-spectrum antibiotic therapy. The following day, respiratory failure occurred, necessitating right sided thoracoscopy. This revealed diaphragmatic necrosis, which was treated by excision and tension-free suturing after conversion to open thoracotomy. Six days later, persistent sepsis necessitated a new exploratory laparotomy and a right-sided hemicolectomy with an ileocolostomy to treat colonic necrosis. The postoperative course was uneventful, and the patient was discharged one month after admission. Bowel continuity was restored six months later. After a one-and-a-half-year follow-up, the patient remained healthy with no long-term physical impairment. Conclusion: To the best of our knowledge, this is the first case of acute appendicitis complicated by diaphragmatic necrosis, empyema and pneumomediastinum to be reported in the medical literature. The pleural empyema and diaphragmatic defect were treated by conversion from thoracoscopy to thoracotomy and direct suture.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.