Evidence map›Paper›PMID 30363246›Full record

ArticleBJR case reports2017

A rare case of a chest wall abscess caused by a migrating oesophageal stent. An iatrogenic gastrocutaneous fistula.

Ravindran Karthigan, Matthew Townsend, Nathan Chan, Husein Kaderbhai, Yasmin Tabbakh, Antonio Leyte Golpe, Branavan Rudran, Christopher Hadjittofi, Sameer Zar, Dimitrios Pissas and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in BJR case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 97% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
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

11 authors at 2 institutions in 1 country.

Ravindran KarthiganDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Matthew TownsendDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Nathan ChanDepartment of Anatomy and Human Sciences, King's College, University of London, London, United Kingdom.
Husein KaderbhaiDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Yasmin TabbakhDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Antonio Leyte GolpeDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Branavan RudranDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Christopher HadjittofiDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Sameer ZarDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Dimitrios PissasDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Kashif BurneyDepartment of Radiology and General Surgical , Epsom and St Helier's NHS Trust, Epsom, England, UK.
Epsom and St Helier University Hospitals NHS Trust · GBUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 65-year-old male, who presented with septicaemia and a chest wall mass on a background of oesophageal carcinoma. This chest wall mass measured 10 cm by 10 cm, was fluctuant, and was situated on the anterior chest wall. Owing to local erythema and surgical emphysema, necrotising fasciitis was suspected and thus intravenous antibiotic and fluid therapy were instituted. Following a chest radiograph, which confirmed the presence of subcutaneous gas, the patient underwent thoraco-abdomino-pelvic CT, which demonstrated oesophageal stent migration through the gastric fundus to the chest wall, between the 10th and 11th left ribs. Through this migration tract, the chest wall was contaminated with gastric contents, accounting for the mass and sepsis. The patient underwent endoscopic stent removal, and incision and drainage to create a gastrocutaneous fistula. Additionally, a nasojejunal tube and intravenous line were sited for jejunal and total parenteral nutrition, respectively, in order to promote healing of the fistula.

Identifiers

PMID30363246
PMCPMC6159195
OpenAlexW2589035066

What OpenQuestion 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 OpenQuestion graph.