Evidence map›Paper›PMID 42592324›Full record

ArticleACG case reports journal2026

Catastrophic Multiterritorial Arterial Embolization Causing Near-Total Bowel Necrosis in New-Onset Atrial Fibrillation With Thyrotoxicosis.

Arshiya Shabnam, Rayees Ahmed Konduru, Nayanika Tummala

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

3 authors.

Arshiya ShabnamDepartment of Internal Medicine, St Mary's General Hospital and St Clare's Health, New York Medical College, Valhalla, NY.ORCID https://orcid.org/0009-0005-7489-3862
Rayees Ahmed KonduruBrigham and Women's Hospital, Boston, MA.
Nayanika TummalaDepartment of Internal Medicine, St Mary's General Hospital and St Clare's Health, New York Medical College, Valhalla, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute mesenteric ischemia remains one of the most lethal abdominal emergencies, particularly when bowel necrosis has already occurred at the time of diagnosis. Embolic occlusion of the superior mesenteric artery is most commonly associated with atrial fibrillation. Although hyperthyroidism is a recognized trigger for atrial fibrillation, widespread systemic arterial embolization in this setting is rarely reported. We describe a 77-year-old woman with biochemical thyrotoxicosis and new-onset atrial fibrillation who developed simultaneous superior mesenteric and peripheral arterial occlusions, resulting in near-total small bowel necrosis that was not surgically survivable. Her rapid clinical deterioration underscores the aggressive nature of embolic mesenteric ischemia and the narrow window available for intervention.

Indexed as

acute limb ischemiaacute mesenteric ischemiaarterial embolismatrial fibrillationbowel necrosishyperthyroidismthyrotoxicosis

Identifiers

PMID42592324
PMCPMC13466098

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.