Evidence map›Paper›PMID 42338850›Full record

ArticleCureus2026

Perforated Necrotizing Cholecystitis, Niemeier Type II, With Subcutaneous Abscess in a Frail Elderly Patient: Challenges in Diagnosis and Management.

Michail Angelos Papaoikonomou, Nikolaos Krokos, Angeliki Chlorou, Ioannis Skandalos, Georgios Tsavdaris

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

5 authors.

Michail Angelos PapaoikonomouDepartment of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.
Nikolaos KrokosDepartment of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.
Angeliki ChlorouDepartment of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.
Ioannis SkandalosDepartment of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.
Georgios TsavdarisDepartment of General Surgery, Agios Pavlos General Hospital, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perforated necrotizing cholecystitis is a life-threatening complication of acute cholecystitis (AC), particularly in frail elderly patients, in whom atypical presentations may delay diagnosis. We report the case of an 89-year-old man with significant cardiovascular, cerebrovascular, and renal comorbidities who presented with abdominal pain, nausea, and a palpable right upper quadrant mass mimicking gallbladder hydrops at presentation. Laboratory findings showed leukocytosis, elevated inflammatory markers, and acute-on-chronic renal dysfunction. Contrast-enhanced CT revealed perforated necrotizing cholecystitis with a large 13 × 3.4 cm loculated pericholecystic abscess. Given the hostile operative field and high surgical risk, the patient underwent open drainage and cholecystostomy. Cultures grew multidrug-resistant

Indexed as

cholecystostomynecrotizing cholecystitisperforated cholecystitispseudomonas aeruginosasubcutaneous pericholocystic abscess

Identifiers

PMID42338850
PMCPMC13286624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.