Evidence map›Paper›PMID 42158905›Full record

ArticleACG case reports journal2026

Isolated Rectal Polypoid Lesion as the Initial Presentation of Crohn's Disease.

Joshua Chen, Bryce Hatfield, Jaime L Bohl, Raseen Tariq

Abstract readCase Reports
In one paragraph

Article in ACG case reports journal, 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

4 authors.

Joshua ChenDivision of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA.
Bryce HatfieldDepartment of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA.
Jaime L BohlDivision of Colon and Rectal Surgery, Department of General Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA.
Raseen TariqDivision of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crohn's disease can present with atypical and isolated manifestations, contributing to diagnostic delays. We describe a 45-year-old woman undergoing routine colorectal cancer screening who was found to have a 30-40 mm rectal polypoid lesion and a persistent perianal abscess later identified as a fistula. Endoscopic appearance suggested segmental disease, and histopathology revealed granulomatous chronic colitis. Infectious etiologies were excluded. This case highlights an unusual presentation of Crohn's disease and emphasizes the importance of considering inflammatory bowel disease in persistent perianal disease to prevent misdiagnosis and treatment delays.

Indexed as

Crohn's diseaseinflammatory bowel diseaseperianal diseaserectal polyp

Identifiers

PMID42158905
PMCPMC13183057

What OpenQuestion holds

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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.