Evidence map›Paper›PMID 30999968›Full record

ArticleJournal of medical case reports2019

Adhesion-induced chronic abdominal pain: a case report on the diagnostic value of Carnett's test.

Tsunetaka Kijima, Ryoji Hyakudomi, Tatsuya Hashimoto, Akari Kusaka, Toshihiko Nakatani, Yutaka Ishibashi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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 at 2 institutions in 1 country.

Tsunetaka KijimaDepartment of General Medicine, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan. tunekijima@gmail.com.
Ryoji HyakudomiDepartment of Digestive and General Surgery, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Tatsuya HashimotoPalliative Care Center, Shimane University Hospital, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Akari KusakaDepartment of Anesthesiology, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Toshihiko NakataniDepartment of Palliative Care, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Yutaka IshibashiDepartment of General Medicine, Faculty of Medicine, Shimane University, 89-1, Enyacho, Izumo City, Shimane, 693-8501, Japan.
Shimane University · JPShimane University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic abdominal pain is a common clinical problem. However, diagnosing chronic abdominal pain often requires detailed diagnostic evaluations in addition to sufficient history taking and physical examination, owing to its uncertain etiology. CASE PRESENTATION: We report a case of a 36-year-old man with chronic abdominal pain originating from postoperative adhesions. Postoperative adhesions are common phenomena, and abdominal surgery can cause severe abdominal pain, the source of which can be difficult to detect. Carnett's test is useful to detect abdominal wall tenderness and to determine the affected abdominal quadrant. Incorporating its use with a detailed chronological clinical history contributes to the improvement of diagnostic accuracy. In addition to the above-mentioned information, attention to subtle imaging findings may provide greater diagnostic accuracy.

conclusionsAbdominal pain induced by postoperative adhesions was reduced by laparoscopic adhesiolysis. Carnett's test is an effective tool for evaluating pain and detecting its cause.

Indexed as

Abdominal PainAdultChronic PainHumansMalePhysical ExaminationPostoperative ComplicationsTissue AdhesionsAdhesionCarnett’s testChronic abdominal pain

Identifiers

PMID30999968
PMCPMC6474053
OpenAlexW2947670105

What Socratic 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 Socratic graph.