Giant Abdominal Wall Endometrioma: A Case Report
Open accessAbstract
Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis may involve a wide spectrum of anatomic locations, but it typically involves pelvic locations. We report the case of a 45-year-old woman who presented with a history of abdominal pain and swelling. She first noticed the swelling eight months prior to presentation, and it had gradually progressed in size. The patient reported that the swelling increased in size during menses. Physical examination revealed a well-defined firm mass to the right of the midline. The mass had a smooth surface but limited mobility after abdominal wall muscle contraction, suggesting an infiltration of the underlying muscular structures. The findings demonstrated by computed tomography of the abdomen confirmed the diagnosis of abdominal wall endometrioma. The patient underwent successful resection of the lesion with complete resolution of her symptoms.
AI snapshot
Written from the paper’s full text.
TL;DR
This case report describes a 45-year-old woman with a giant abdominal wall endometrioma presenting as cyclic right-sided abdominal pain and swelling that began 8 months earlier. Surgical resection, including part of the underlying rectus abdominis muscle, led to complete symptom resolution at 6-month follow-up.
Key findings
- A 45-year-old woman had right-sided abdominal pain and swelling for 8 months; the swelling increased during menses, and she had undergone cesarean section 2 years before presentation.
- Contrast-enhanced abdominal CT showed a large lobulated, heterogeneously enhancing mass measuring 17 × 15 × 10 cm, infiltrating the underlying muscular structure and displacing adjacent structures, confirming abdominal wall endometrioma.
- She underwent surgical resection of the endometrioma along with part of the underlying rectus abdominis muscle; blood loss was minimal, the postoperative course was uneventful, and she was discharged 7 days after operation.
- At 6-month follow-up, she reported major satisfaction and complete resolution of symptoms; the discussion cites an estimated incidence of abdominal wall endometrioma after cesarean section of 0.03%–0.45%.
Methods
- Single case report of one 45-year-old woman evaluated with clinical history, physical examination, basic laboratory investigations, and contrast-enhanced abdominal CT.
- The patient underwent surgical resection of the abdominal wall endometrioma and part of the rectus abdominis muscle, followed by outpatient follow-up for 6 months.
- No formal statistical analysis or comparison group is reported.
Limitations
- The paper states no explicit limitations.
- Evident limitations include the single-case design, lack of generalizability, and short 6-month follow-up, which does not assess long-term recurrence even though recurrence is described as a known complication.
- The text does not report histopathologic confirmation of the endometrioma; diagnosis is described as confirmed by CT.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 12 cited sources checked · 0 supported · 0 flagged
- Findingown data
The patient had complete resolution of her symptoms after resection.
“The patient underwent successful resection of the lesion with complete resolution of her symptoms.”
Quote in the paperSubstantial claim - Findingown data
The endometrioma had risen at the site of the previous scar of the cesarean section.
“It was noted that the endometrioma had risen at the site of the previous scar of the cesarean section.”
Quote in the paperNot a substantial claim - Findingown data
The swelling increased in size during menses.
“The patient reported that the swelling increased in size during menses.”
- Also stated in: § Case presentation · plain
“The patient reported that the swelling increased in size during menses and was interfering with her daily activities.”
Quote in the paperNot a substantial claim - Also stated in: § Case presentation · plain
- Findingown data
The patient underwent successful resection of the lesion.
“The patient underwent successful resection of the lesion with complete resolution of her symptoms.”
Quote in the paperSubstantial claim - Findingown data
The patient had complete resolution of her symptoms.
“complete resolution of her symptoms”
Quote in the paperNot a substantial claim
- Findingown data
Physical examination revealed a well-defined firm mass to the right of the midline.
“Physical examination revealed a well-defined firm mass to the right of the midline.”
- Also stated in: § Case presentation · plain
“Physical examination revealed a well-defined firm mass to the right of the midline.”
Quote in the paperNot a substantial claim - Also stated in: § Case presentation · plain
- Findingown data
The mass had limited mobility after abdominal wall muscle contraction.
“The mass had a smooth surface but limited mobility after abdominal wall muscle contraction, suggesting an infiltration of the underlying muscular structures.”
Quote in the paperNot a substantial claim - Findingown data
The swelling gradually progressed in size.
“and it had gradually progressed in size”
Quote in the paperNot a substantial claim - Interpretationown data
Abdominal wall endometrioma can be very large.
“The size of endometrioma can be very large which should not make the physician overlook this condition.”
Quote in the paperSubstantial claim - Premisecitation
Wide local excision is the treatment of choice for abdominal wall endometrioma.
“Wide local excision is the treatment of choice and results in complete resolution of symptoms [2].”
- Also stated in: § Conclusions · plain
“Surgical resection is the treatment of choice and results in complete resolution of the symptoms.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [2] Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010, 362:2389-2398. 10.1056/NEJMcp1000274 source
Not checked in the free run.
- Also stated in: § Conclusions · plain
- Interpretationown data
Computed tomography of the abdomen demonstrated findings that confirmed the diagnosis of abdominal wall endometrioma.
“The findings demonstrated by computed tomography of the abdomen confirmed the diagnosis of abdominal wall endometrioma.”
Quote in the paperSubstantial claim- Rests on an assumption: Computed tomography findings are sufficient to confirm the diagnosis of abdominal wall endometrioma without histopathological confirmation.
- Premisecitation
Several factors, such as younger age and prior use of medical treatment of endometriosis, increase the risk of recurrence of abdominal wall endometrioma.
“Of note, several factors have been identified to increase the risk of recurrence, such as younger age and prior use of medical treatment of endometriosis [6].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [6] Bektaş H, Bilsel Y, Sarı YS, et al.. Abdominal wall endometrioma; a 10-year experience and brief review of the literature. J Surg Res. 2010, 164:77-81. 10.1016/j.jss.2010.07.043 source
Not checked in the free run.
- Premisecitation
Recurrence is a known complication of abdominal wall endometrioma.
“However, the recurrence of the condition is a known complication [7].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [7] Ding Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet. 2013, 121:41-44. 10.1016/j.ijgo.2012.11.011 source
Not checked in the free run.
- Interpretationown data
The CT findings confirmed the diagnosis of abdominal wall endometrioma.
“confirming the diagnosis of abdominal wall endometrioma”
Quote in the paperSubstantial claim - Premisecitation
The development of endometriosis after surgical operation is most likely attributed to the spread of endometrial tissue into the surgical wound.
“The development of endometriosis after surgical operation is most likely attributed to the spread of endometrial tissue into the surgical wound [5].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [5] Gidwaney R, Badler RL, Yam BL, Hines JJ, Alexeeva V, Donovan V, Katz DS. Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 2012, 32:2031-2043. 10.1148/rg.327125024 source
Not checked in the free run.
- Premisecitation
A classic history of cyclic abdominal wall swelling is key in the diagnosis of abdominal wall endometrioma.
“The classic history of cyclic abdominal wall and swelling, as in the present case, is key in the diagnosis of abdominal wall endometrioma [7].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [7] Ding Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet. 2013, 121:41-44. 10.1016/j.ijgo.2012.11.011 source
Not checked in the free run.
- Premisecitation
Abdominal wall endometrioma typically develops after surgical procedures on the uterus, such as cesarean section.
“Abdominal wall endometrioma typically develops after surgical procedures on the uterus, such as cesarean section.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [5] Gidwaney R, Badler RL, Yam BL, Hines JJ, Alexeeva V, Donovan V, Katz DS. Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 2012, 32:2031-2043. 10.1148/rg.327125024 source
Not checked in the free run.
- Interpretationown data
The case of a giant abdominal wall endometrioma underwent successful surgical management.
“We reported the case of a giant abdominal wall endometrioma that underwent successful surgical management.”
Quote in the paperSubstantial claim - Interpretationreasoning
The limited mobility of the mass suggested infiltration of the underlying muscular structures.
“The mass had a smooth surface but limited mobility after abdominal wall muscle contraction, suggesting an infiltration of the underlying muscular structures.”
Quote in the paperNot a substantial claim - Premisecitation
Wide local excision results in complete resolution of symptoms of abdominal wall endometrioma.
“Wide local excision is the treatment of choice and results in complete resolution of symptoms [2].”
- Also stated in: § Conclusions · plain
“Surgical resection is the treatment of choice and results in complete resolution of the symptoms.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [2] Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010, 362:2389-2398. 10.1056/NEJMcp1000274 source
Not checked in the free run.
- Also stated in: § Conclusions · plain
- Premisecitation
Ultrasound examination may aid in reaching the diagnosis of abdominal wall endometrioma by demonstrating a hypoechoic, vascular, and/or solid mass near the surgical incision.
“Ultrasound examination may aid in reaching the diagnosis by demonstrating a hypoechoic, vascular, and/or solid mass near the surgical incision [3].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] Vercellini P, Vigano P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. 2014, 10:261-275. 10.1038/nrendo.2013.255 source
Not checked in the free run.
- Classified as probably not a substantial claim. 21
- May combine two claims. 2
- The quote only partly states this claim. 1
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient's menstrual periods were not associated with menorrhagia.
“Her menstrual periods were regular and were not associated with menorrhagia.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe postoperative course was uneventful.
“The postoperative course was uneventful.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe swelling interfered with the patient's daily activities.
“The patient reported that the swelling increased in size during menses and was interfering with her daily activities.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataBasic hematological and biochemical laboratory investigations were within normal limits.
“Basic hematological and biochemical laboratory investigations were within normal limits.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe CT scan demonstrated a large lobulated mass with heterogeneous enhancement, measuring 17 × 15 × 10 cm and infiltrating the underlying muscular structure.
“The CT scan demonstrated a large lobulated mass with heterogenous enhancement, measuring 17 × 15 × 10 cm and infiltrating the underlying muscular structure”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe mass lesion displaced adjacent structures.
“The mass lesion was noted to displace adjacent structures.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient reported major satisfaction.
“reported major satisfaction”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe associated pain was moderately improved after the use of non-steroidal anti-inflammatory drugs.
“The associated pain was moderately improved after the use of non-steroidal anti-inflammatory drugs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThere was minimal blood loss during surgery.
“There was minimal blood loss.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe mass had a smooth surface.
“The mass had a smooth surface but limited mobility after abdominal wall muscle contraction, suggesting an infiltration of the underlying muscular structures.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient first noticed the swelling eight months before presentation.
“She first noticed the swelling eight months prior to presentation”
- Also stated in: § Case presentation · plain
“She first noticed the swelling eight months ago”
Quote in the paperNot a substantial claim- Also stated in: § Case presentation · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient had no prior history of gynecological conditions.
“She did not have any prior history of gynecological conditions.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient reported no history of bowel or bladder symptoms.
“However, there were no changes in the overlying skin and she reported no history of bowel or bladder symptoms.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe patient was a 45-year-old woman who presented with right-sided abdominal pain and swelling.
“We present the case of a 45-year-old woman who presented to the outpatient department with a history of right-sided abdominal pain and swelling.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe patient was discharged seven days after the operation.
“The patient was discharged seven days after the operation.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient was followed up in the outpatient department for six months.
“The patient was followed up in the outpatient department for six months”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe patient's menstrual periods were regular.
“Her menstrual periods were regular and were not associated with menorrhagia.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataThe present case demonstrated that abdominal wall endometrioma may present as a giant lesion causing a pressure effect on the underlying structures.
“The present case demonstrated that endometrioma may present as a giant lesion causing a pressure effect on the underlying structures.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThere were no changes in the overlying skin.
“However, there were no changes in the overlying skin and she reported no history of bowel or bladder symptoms.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenThe patient underwent a cesarean section two years before presentation due to fetal distress.
“The patient underwent a cesarean section two years before the presentation due to fetal distress.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEndometriosis may involve a wide spectrum of anatomic locations.
“Endometriosis may involve a wide spectrum of anatomic locations, but it typically involves pelvic locations [4].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [4] Gustofson RL, Kim N, Liu S, Stratton. Endometriosis and the appendix: a case series and comprehensive review of the literature. Fertil Steril. 2006, 86:298-303. 10.1016/j.fertnstert.2005.12.076 source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningThe rarity of abdominal wall endometrioma suggests that genetic factors could play a role.
“the rarity of abdominal wall endometrioma suggests that genetic factors could play a role”
Quote in the paperNot a substantial claim- Rests on an assumption: Dissemination of endometrial tissue into the surgical scar is common after cesarean section.
- Rests on an assumption: Some cases of spontaneous abdominal wall endometrioma in patients without a history of uterine surgeries have been reported.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe estimated incidence of abdominal wall endometrioma after cesarean section is between 0.03% and 0.45%.
“The estimated incidence of abdominal wall endometrioma after cesarean section is between 0.03% and 0.45% [3,6].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [3] Vercellini P, Vigano P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. 2014, 10:261-275. 10.1038/nrendo.2013.255 source
Not checked in the free run.
- cites [6] Bektaş H, Bilsel Y, Sarı YS, et al.. Abdominal wall endometrioma; a 10-year experience and brief review of the literature. J Surg Res. 2010, 164:77-81. 10.1016/j.jss.2010.07.043 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEndometriosis typically involves pelvic locations.
“Endometriosis may involve a wide spectrum of anatomic locations, but it typically involves pelvic locations [4].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [4] Gustofson RL, Kim N, Liu S, Stratton. Endometriosis and the appendix: a case series and comprehensive review of the literature. Fertil Steril. 2006, 86:298-303. 10.1016/j.fertnstert.2005.12.076 source
Not checked in the free run.
The paper relies on this without support.
Computed tomography findings are sufficient to confirm the diagnosis of abdominal wall endometrioma without histopathological confirmation.
“The findings demonstrated by computed tomography of the abdomen confirmed the diagnosis of abdominal wall endometrioma.”
The paper relies on this without support.
Dissemination of endometrial tissue into the surgical scar is common after cesarean section.
“As the dissemination of endometrial tissue into the surgical scar is common after cesarean section”
The paper relies on this without support.
Some cases of spontaneous abdominal wall endometrioma in patients without a history of uterine surgeries have been reported.
“some cases of spontaneous abdominal wall endometrioma in patients without a history of uterine surgeries have been reported.”
The paper relies on this without support.
Abdominal wall endometrioma is very rare.
“Although very rare, this clinical entity should be kept in mind when encountering a woman with cyclic abdominal pain and swelling.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Only a few reports describe the use of reconstructive techniques such as abdominal wall plasty and the flap technique, to prevent recurrence and herniation.
“only a few reports describe the use of reconstructive techniques such as abdominal wall plasty and the flap technique, to prevent recurrence and herniation [4–6].”
From Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis (2022) · cites this paper as [4]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Mass described on opposite sides of the abdomen
MajorThe case presentation places the mass on the right, while the CT figure caption calls it left-sided.
“Physical examination revealed a well-defined firm mass to the right of the midline.”
“Figure: Figure 1 Axial (A) and coronal (B) abdominal CT images demonstrating a heterogenous left-sided abdominal mass lesion (arrow) with enhancement originating from the underlying muscular structures.”
Cites
Endometriosis: pathogenesis and treatment
Vercellini, P., Viganò, P., Somigliana, E., & Fedele, L. (2014) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2013.255 · Cited by 1,940 · cited 2× · see citing works
“Ultrasound examination may aid in reaching the diagnosis by demonstrating a hypoechoic, vascular, and/or solid mass near the surgical incision [3].”
BackgroundGiudice, L. C. (2010) · New England Journal of Medicine · doi:10.1056/nejmcp1000274 · Cited by 1,924 · cited 2× · see citing works
“Wide local excision is the treatment of choice and results in complete resolution of symptoms [2].”
BackgroundRisk for and consequences of endometriosis: A critical epidemiologic review
Shafrir, A. L., Farland, L. V., Shah, D. K., Harris, H. R., Kvaskoff, M., Zondervan, K., & Missmer, S. A. (2018) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2018.06.001 · Cited by 823 · cited 1× · see citing works
“It represents a common gynecologic problem affecting around 10% of women globally [1].”
BackgroundEndometriosis and the appendix: a case series and comprehensive review of the literature
Gustofson, R. L., Kim, N., Liu, S., & Stratton, P. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2005.12.076 · Cited by 178 · cited 1× · see citing works
“Endometriosis may involve a wide spectrum of anatomic locations, but it typically involves pelvic locations [4].”
BackgroundAbdominal wall endometrioma; a 10-year experience and brief review of the literature.
Bektaş, H., Bilsel, Y., Sarı, Y. S., Ersöz, F., Koç, O., Deniz, M., Boran, B., & Huq, G. E. (2010) · Journal of Surgical Research · doi:10.1016/j.jss.2010.07.043 · Cited by 171 · cited 1× · see citing works
“Of note, several factors have been identified to increase the risk of recurrence, such as younger age and prior use of medical treatment of endometriosis [6].”
BackgroundGidwaney, R., Badler, R. L., Yam, B. L., Hines, J. J., Alexeeva, V., Donovan, V., & Katz, D. S. (2012) · RadioGraphics · doi:10.1148/rg.327125024 · Cited by 120 · cited 1× · see citing works
“The development of endometriosis after surgical operation is most likely attributed to the spread of endometrial tissue into the surgical wound [5].”
BackgroundMiller, W., & Melson, G. (1979) · American Journal of Roentgenology · doi:10.2214/ajr.132.3.467 · Cited by 87 · see citing works
A retrospective review of abdominal wall endometriosis in Shanghai, China.
Ding, Y., & Zhu, J. (2013) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2012.11.011 · Cited by 80 · cited 2× · see citing works
“However, the recurrence of the condition is a known complication [7].”
Background
Flagged first, then by citations
Cited by
Sorted by citations
Percutaneous Imaging-guided Cryoablation of Endometriosis Scars of the Anterior Abdominal Wall
Jouffrieau, C., Cazzato, R. L., Gabriele, V., et al. (2023) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2023.06.018 · Cited by 19 · see citing works
Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis
Takaya, K., Shido, H., & Yamazaki, S. (2022) · Case Reports in Medicine · doi:10.1155/2022/7330013 · Cited by 3 · see citing works
Harrah, P. C., Deering, A. J., Chung, M. T., Hughes, K., & Hosein, R. C. (2024) · Plastic and Reconstructive Surgery, Global Open · doi:10.1097/gox.0000000000005904
“18,33 Large abdominal wall defects can be closed through a variety of ways, including unilateral or bilateral component separation with supportive mesh placed as an overlay, underlay, retrorectus or bridging mesh repair, whereas small defects such as our patient’s may be reconstructed with mesh…”
Background
- Authors
- Faqeeh, H. M., Al Zaher, F. A., Maashi, A. M., Albaqshi, M. A., & Aljeshi, A. A.
- Affiliations
- Medical University of Warsaw (PL)
- Venue
- Cureus
- Published
- 2021-01-18
- Volume
- 13
- Issue
- 1
- Pages
- e12766-e12766
- ISSN
- 2168-8184 (ISSN-L)
- PMC
- PMC7817536
- OpenAlex
- W3125199563
- Semantic Scholar
- ee59a255faab44bce3d358d4ca855a9f5b35948e
- Cited by
- 3
- References
- 8
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Cureus (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Surgery › Teratomas and Epidermoid Cysts
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- endometriosis, abdominal wall mass, abdominal pain, surgical resection, computed tomography diagnosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
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