Evidence map›Paper›PMID 42518748›Full record

ArticleGastro hep advances2026

Severe Gastrointestinal Graft-versus-Host Disease Following Haploidentical Stem Cell Transplantation Presenting With Passage of a Colonic Cast.

Faisal Abubaker, Mariam Adnan, Noora Almannai, Noora Butti, Eman Aljufairi

Abstract readCase Reports
In one paragraph

Article in Gastro hep advances, 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.

Faisal AbubakerInternal Medicine Department, King Hamad University Hospital, Busaiteen, Bahrain.
Mariam AdnanInternal Medicine Department, King Hamad University Hospital, Busaiteen, Bahrain.
Noora AlmannaiInternal Medicine Department, King Hamad University Hospital, Busaiteen, Bahrain.
Noora ButtiHematology and Bone Marrow Transplant Department, Bahrain Oncology Center, Busaiteen, Bahrain.
Eman AljufairiPathology Department, King Hamad University Hospital, Busaiteen, Bahrain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal graft-versus-host disease (GI-GVHD) is a life-threatening complication of allogeneic hematopoietic stem cell transplantation with increased severity in haploidentical settings. We report a fatal case of severe, steroid-refractory GI-GVHD in a 67-year-old male following haploidentical stem cell transplantation for myelodysplastic syndrome with excess blasts-2. The patient developed multiorgan complications including refractory cytopenias, severe infections, pleural effusions, and hepatic dysfunction. A rare and striking manifestation occurred with the passage of a colonic cast, reflecting profound mucosal injury and full-thickness epithelial sloughing. Despite maximal immunosuppressive therapy, including corticosteroids, calcineurin inhibition, ruxolitinib, and extracorporeal photopheresis, the patient deteriorated and ultimately expired. This case highlights an extreme presentation of GI-GVHD with rare colonic cast formation and emphasizes the aggressive nature of steroid-refractory disease.

Indexed as

Colonic CastGastrointestinal GVHDHaploidentical TransplantMucosal SloughingSteroid-Refractory GVHD

Identifiers

PMID42518748
PMCPMC13382261

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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.