Evidence map›Paper›PMID 42677073›Full record

ArticleJournal of surgical case reports2026

The stent that time forgot: perforated small bowel diverticulitis seventy years in the making, a case report.

Antonio A Bon Nieves, Harsheen Manaise, Jaime L Sexton, Kristina Kuklova, Brendan P Stewart, Noubar Kevorkian

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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

6 authors.

Antonio A Bon NievesGeneral Surgery Residency Program, UConn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, United States.ORCID https://orcid.org/0000-0002-7408-3289
Harsheen ManaiseGeneral Surgery Residency Program, UConn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, United States.
Jaime L SextonGeneral Surgery Residency Program, UConn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, United States.
Kristina KuklovaGeneral Surgery Residency Program, UConn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, United States.ORCID https://orcid.org/0000-0001-7843-0543
Brendan P StewartGeneral Surgery Residency Program, UConn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, United States.ORCID https://orcid.org/0000-0003-3490-1627
Noubar KevorkianDepartment of General Surgery, The Hospital of Central Connecticut, 100 Grand Street, New Britain, CT 06050, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biliary stents are commonly used for strictures and obstruction, but can migrate distally in up to 20% of cases. While most are identified early, some remain silent for years before presenting with complications. We describe a rare case of a biliary stent that migrated and remained undetected for over 70 years in an 89-year-old woman with a history of cholecystectomy and common bile duct stenting in the 1950s. She presented with acute abdominal pain, nausea, and vomiting. Labs showed leukocytosis, renal dysfunction, and elevated alkaline phosphatase. Computed tomography imaging revealed small bowel thickening, extraluminal gas, and a radiopaque foreign body. Patient was found to have diffuse small bowel diverticulosis with localized perforation and adhesions; segmental resection confirmed diverticulitis with perforation and foreign body reaction around a retained biliary stent. This case highlights an exceptionally delayed complication of stent migration and the importance of comprehensive history-taking when evaluating elderly patients with atypical abdominal symptoms.

Indexed as

delayed presentationmigrated biliary stentremote cholecystectomy

Identifiers

PMID42677073
PMCPMC13528854

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.