Evidence map›Paper›PMID 42898574›Full record

ArticleSurgical case reports2026

Urgent Colectomy for Colonic Necrosis Following Shiga Toxin-Producing

Kenta Baba, Tatsuaki Sumiyoshi, Takeshi Kobayashi, Yoshifumi Kondo, Sho Tazuma, Keisuke Okano, Takeshi Muto, Naokuni Tatsumoto, Shinya Takahashi

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in 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

9 authors.

Kenta BabaDepartment of Surgery, NHO Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan.
Tatsuaki SumiyoshiDepartment of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Hiroshima, Japan.
Takeshi KobayashiDepartment of Surgery and Pediatric Surgery, Hiroshima City Funairi Citizens Hospital, Hiroshima, Hiroshima, Japan.
Yoshifumi KondoDepartment of Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
Sho TazumaDepartment of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Hiroshima, Japan.
Keisuke OkanoDepartment of Surgery, Miyoshi Central Hospital, Hiroshima, Miyoshi, Japan.
Takeshi MutoMuto Internal Medicine, Surgery and Gastroenterology Clinic, Hiroshima, Hiroshima, Japan.
Naokuni TatsumotoDepartment of Surgery, Miyoshi Central Hospital, Hiroshima, Miyoshi, Japan.
Shinya TakahashiDepartment of Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShiga toxin-producing CASE PRESENTATION: A 73-year-old woman presented with abdominal pain and diarrhea. Abdominal CT showed diffuse wall thickening in the ascending and transverse colon. Infectious enteritis and acute exacerbation of chronic renal failure were diagnosed, and antibiotics and continuous hemodiafiltration were initiated. On day 5 of hospitalization, necrotic ischemic colitis was suspected owing to bloody diarrhea and contrast-enhanced CT findings of wall thinning of the ascending and transverse colon. On laparotomy, the ascending colon and proximal transverse colon were necrotic, and urgent surgery (right hemicolectomy) was performed. Postoperatively, the stool sample provided at admission was found to be positive for

conclusionsThe postoperative course was uneventful, and dialysis was discontinued. This case highlights that STEC O157 infection can rapidly progress to life-threatening colonic necrosis in adults without HUS, requiring timely surgical intervention.

Indexed as

colonic necrosisenterohemorrhagic Escherichia coliEscherichia coli O157hemolytic uremic syndromeright hemicolectomy

Identifiers

PMID42898574
PMCPMC13678288

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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.