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Record W4388070863 · doi:10.21203/rs.3.rs-3444822/v1

Omental Artery Bleeding: A Rare Complication of Percutaneous Cholecystostomy

2023· preprint· en· W4388070863 on OpenAlex
Andrew Common, Andrew Dalton

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueResearch Square · 2023
Typepreprint
Languageen
FieldMedicine
TopicOmental and Epiploic Conditions
Canadian institutionsUniversity of TorontoMemorial University of Newfoundland
Fundersnot available
KeywordsComplicationMedicinePercutaneousRadiologySurgery

Abstract

fetched live from OpenAlex

Abstract Background: Percutaneous cholecystostomy (PCC) is often performed to treat acute cholecystitis in critically ill or high-risk surgical patients. This case report illuminates a rare complication following PCC that has not been previously reported in the literature. Case Presentation: A 49-year-old male with a complex medical history presented with symptoms indicative of cholecystitis which was confirmed on imaging. The patient underwent PCC with no intra-procedural complications. Post-procedure, the patient experienced a significant drop in vital signs with intraperitoneal free fluid on CT. Prompt fluoroscopy-guided angiography that identified bleeding from an omental artery, along with subsequent embolization of the bleeding artery were crucial in stabilizing the patient's condition. Conclusion: This case report underscores the importance of comprehensive anatomical understanding, procedural vigilance, and swift response to complications during PCC. The uniqueness of this case lies in the rarity of the complication and the successful management, thereby enriching the existing compendium of knowledge on PCC-associated risks.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.695
Threshold uncertainty score0.802

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.135
GPT teacher head0.425
Teacher spread0.290 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it