Evidence map›Paper›PMID 33927857›Full record

ArticleJournal of surgical case reports2021

Delayed gastropleural fistula: a rare cause of a persistent pleural effusion after blunt force trauma.

Kin Yik Chan, Shane Keogh, Nitin Aucharaz, Hugo Temperley, James O'Driscoll, Narayanasamy Ravi, Shona Tormey

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Kin Yik ChanUniversity Hospital Limerick, Department of Breast and General Surgery, Dooradoyle, Limerick, Ireland.
Shane KeoghUniversity Hospital Limerick, Department of Breast and General Surgery, Dooradoyle, Limerick, Ireland.
Nitin AucharazUniversity Hospital Limerick, Department of Breast and General Surgery, Dooradoyle, Limerick, Ireland.
Hugo TemperleySt.James's Hospital, Department of General Surgery, D08 NHY1, Dublin, Ireland.
James O'DriscollUniversity Hospital Limerick, Department of Anaesthetics and Critical Care, Dooradoyle, Limerick, Ireland.
Narayanasamy RaviSt.James's Hospital, Department of General Surgery, D08 NHY1, Dublin, Ireland.
Shona TormeyUniversity Hospital Limerick, Department of Breast and General Surgery, Dooradoyle, Limerick, Ireland.
University Hospital Limerick · IESt. James's Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A gastropleural fistula (GPF) is a rare pathological connection between the stomach and pleural cavity. Diagnosis and treatment are frequently delayed due to the lack of specific clinical, laboratory and radiological findings. We describe a case of a 53-year-old gentleman who presented to our institution with respiratory sepsis and a massive haemopneumothorax on imaging. Uniquely, he was discharged a week prior after a splenectomy for a traumatic fall. Gut flora in the pleural fluid and a subsequent positive dye test suggested an aero-digestive connection. Repeat imaging revealed a fistula between stomach and the left pleural cavity through a ruptured diaphragm. He underwent an open sleeve gastrectomy and primary repair of the diaphragm. This is the first GPF in literature presenting in such a fashion. Although rare, a persistent effusion with a history of blunt thoracoabdominal trauma may herald a GPF, which, if not diagnosed promptly, may result in significant morbidity.

Identifiers

PMID33927857
PMCPMC8057134
OpenAlexW3154249316

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.