Evidence map›Paper›PMID 42130588›Full record

ArticleInternational journal of surgery case reports2026

Diffuse pericardial, intraabdominal, and subcutaneous non-infected fat necrosis in patient with chronic pancreatitis, managed with thoracoscopic and abdominal debridement.

Marian Hamand, Dionne Skeete, Melissa Tvedte, Anthony Snow, Frederick Johlin, Kalpaj R Parekh, Evgeny V Arshava

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 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

7 authors.

Marian HamandDepartment of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.ORCID https://orcid.org/0009-0004-4230-4587
Dionne SkeeteDepartment of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Melissa TvedteDepartment of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Anthony SnowDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Frederick JohlinDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Kalpaj R ParekhDepartment of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Evgeny V ArshavaDepartment of Cardiothoracic Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA.ORCID https://orcid.org/0000-0003-2146-4990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a patient that acutely presented with concomitant non-infected diffuse pericardial, intraabdominal, and subcutaneous fat necrosis in the setting of previously undiagnosed chronic calcific pancreatitis. There was no associated pancreatic necrosis, pseudocyst, or fistula. We have not encountered in the literature a previous description. The patient was managed with combination of abdominal and thoracoscopic resections and a favorable 4-year outcome. Exact mechanism of this case is uncertain. Based on clinical, intraoperative, and imaging findings, we consider that the etiology was intraabdominal and most likely related to chronic pancreatitis in the setting of metabolic syndrome.

Indexed as

extraapancreatic necrosismediastinal necrosismediastinitispancreatic panniculitispericardial fat necrosis

Identifiers

PMID42130588
PMCPMC13166751

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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.