Evidence map›Paper›PMID 33768063›Full record

ArticleEuropean journal of case reports in internal medicine2021

Midthoracic Pain, Sentinel Arterial Haemorrhage and Exsanguination after a Symptom-Free Interval (Chiari's Triad) is Diagnostic of Arterio-Oesophageal Fistula: A Life-Threatening Cause of Gastrointestinal Bleeding.

Andra Glodean, Rainer Grobholz, Karim El-Hag, Mairi Ziaka, Jean-Paul Schmid

Open access · goldAbstract read
In one paragraph

Article in European journal of case reports in internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Aortoesophageal Fistula Mimicking Dieulafoy Disease: A Case Report.GE Portuguese journal of gastroenterology · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Chicken Bone Ingestion Leads to Aortoesophageal Fistula With Catastrophic Bleeding.Journal of investigative medicine high impact case reports
    Article
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

5 authors at 3 institutions in 1 country.

Andra GlodeanDepartment of Internal Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
Rainer GrobholzInstitute of Pathology, Cantonal Hospital Aarau, Aarau, Switzerland.
Karim El-HagDepartment of Internal Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
Mairi ZiakaDepartment of Internal Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
Jean-Paul SchmidDepartment of Internal Medicine, Clinic Barmelweid, Barmelweid, Switzerland.
Klinik Barmelweid · CHUniversity of Bern · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArterio-oesophageal fistulae are a very uncommon cause of severe gastrointestinal bleeding, and mostly result from an aberrant right subclavian artery and mediastinal surgery or prolonged endotracheal/nasogastric intubation. MATERIAL AND

methodsWe present the case of a patient with an oesophageal adenocarcinoma and haematemesis due to a subclavian arterio-oesophageal fistula after mediastinal radiotherapy.

conclusionWe discuss the rare, life-threatening condition of acute erosion of the left subclavian artery caused by an oesophageal tumour and presenting with Chiari's triad. LEARNING POINTS: Subclavian arterio-oesophageal fistula is an uncommon, life-threatening cause of gastrointestinal bleeding.Knowledge of Chiari's triad enables early recognition of potentially fatal gastro-intestinal bleeding.A high level of suspicion is essential for prompt diagnosis and referral for surgical treatment especially in patients with malignancies of the upper gastrointestinal tract.

Indexed as

Chiari’s triadexsanguinationgastrointestinal bleedingoesophageal carcinomasentinel arterial haemorrhageSubclavian arterio-oesophageal fistula

Identifiers

PMID33768063
PMCPMC7977051
OpenAlexW3135999885

What OpenQuestion holds

Textmetadata
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.