Evidence map›Paper›PMID 42109561›Full record

ArticleCase reports in surgery2026

Chest Pain and Palpitations After Spinal Surgery: An Atypical Presentation of Acute Cholecystitis.

Jordan Purewal, Jason Silvers, Jared Gennett, Michael Knight, Nasim Ahmed, Xiu Sun

Abstract read
In one paragraph

Article in Case reports in surgery, 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.

Jordan PurewalDepartment of Surgery, Jersey Shore University Medical Center, Neptune, New Jersey, USA, jerseyshoreuniversitymedicalcenter.com.
Jason SilversDepartment of Surgery, Jersey Shore University Medical Center, Neptune, New Jersey, USA, jerseyshoreuniversitymedicalcenter.com.ORCID https://orcid.org/0000-0003-1642-6543
Jared GennettSt. Georges University School of Medicine, West Indies, St. Georges, Grenada, sgu.edu.
Michael KnightDepartment of Surgery, Jersey Shore University Medical Center, Neptune, New Jersey, USA, jerseyshoreuniversitymedicalcenter.com.ORCID https://orcid.org/0009-0006-5381-603X
Nasim AhmedDepartment of Surgery, Jersey Shore University Medical Center, Neptune, New Jersey, USA, jerseyshoreuniversitymedicalcenter.com.ORCID https://orcid.org/0000-0001-8347-0726
Xiu SunDepartment of Pathology, Jersey Shore University Medical Center, Neptune, New Jersey, USA, jerseyshoreuniversitymedicalcenter.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute cholecystitis is a common disease that affects ~200,000 people in the United States each year. Early diagnosis and gallbladder removal are associated with improved patient outcomes, including fewer postoperative complications, shorter length of stay, and lower hospital costs. Acute cholecystitis typically presents with right upper quadrant (RUQ) pain associated with nausea and vomiting. The pathophysiological mechanism of RUQ pain corresponds with dermatomes that arise from thoracic spinal cord levels T6 to T8. We describe a case of a 40-year-old male who presented with a 2-day history of substernal chest pain, which was worked up for acute coronary syndrome and was later found to have acute cholecystitis. This atypical presentation was attributed to the patient's history of a paraspinal schwannoma after resection with laminectomy, complicated by persistent right hemi-thoracoabdominal paresthesia. We aim to shed light on this atypical presentation of acute cholecystitis.

Identifiers

PMID42109561
PMCPMC13157304

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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.