ArticleFrontiers in oncology2026
Case Report: Diagnostic and therapeutic reflections on one case of greater omental adhesion misdiagnosed as peritoneal metastasis following rectal cancer surgery.
Article in Frontiers in oncology, 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
Objective: To investigate the differential diagnostic criteria and decision-making logic for distinguishing benign intra-abdominal adhesions from peritoneal metastasis following preoperative radiotherapy and surgical resection for rectal cancer, thereby providing clinical reference for managing similar atypical peritoneal lesions. Methods: We conducted a retrospective analysis of clinical data from a 57-year-old patient with stage pT4bN1cM0 rectal cancer who received postoperative radiotherapy at our institution. The patient was initially suspected of having peritoneal metastasis based on an abnormally enhanced nodular lesion in the right lower anterior abdominal wall. We systematically reviewed the diagnostic and therapeutic process, multidisciplinary team (MDT) decision-making, and pathological diagnosis, and analyzed the causes of misdiagnosis, differential diagnostic key points, and management strategies in conjunction with relevant literature. Results: The patient underwent laparoscopic exploration combined with abdominal wall lesion resection. Postoperative pathology confirmed greater omental adhesion with localized inflammatory reaction, effectively excluding malignant metastasis. Conclusions: Cross-sectional imaging has inherent limitations in the diagnosis of peritoneal lesions. For patients with suspected peritoneal lesions following rectal cancer surgery, comprehensive evaluation should integrate trauma history, tumor markers, clinical symptoms, and imaging characteristics. The patient had no evidence of extraperitoneal metastasis throughout the diagnosis and treatment, and the interval between the initial radical rectal cancer surgery and the detection of suspected peritoneal metastatic lesions was 2 years. Individualized diagnostic and therapeutic decisions guided by MDT, with appropriate application of laparoscopic minimally invasive exploration, can effectively improve diagnostic accuracy and avoid overtreatment or diagnostic delays.
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.