Evidence map›Paper›PMID 38827418›Full record

ArticleCureus2024

From Silent to Severe: Gastric Perforation Causing Spontaneous Hydropneumothorax Secondary to a Large Hiatal Hernia.

Sai Rakshith Gaddameedi, Jayasree Ravilla, Anoohya Vangala, Malay Rathod, Ojas Chinchwadkar, Montaser Alrjoob, Vandana Bandari, Doantrang Du

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. 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
–field-weighted citation impact
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.

  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

8 authors.

Sai Rakshith GaddameediInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.
Jayasree RavillaInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.
Anoohya VangalaInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.
Malay RathodInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.
Ojas ChinchwadkarInternal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.
Montaser AlrjoobInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.
Vandana BandariInternal Medicine, Bayhealth Medical Center, Dover, USA.
Doantrang DuInternal Medicine, Rutgers Health/Monmouth Medical Center, Long Branch, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hiatal hernias, characterized by the protrusion of internal organs through the diaphragmatic hiatus, are commonly seen in the elderly age group. While surgical management remains debatable for asymptomatic cases, emergent complications necessitate prompt intervention. Here, we present a case of a 69-year-old female with a history of diaphragmatic hernia, who developed acute hypoxic respiratory failure secondary to acute pleural effusion caused by paraesophageal hernia rupture. Despite initial inconclusive imaging, a CT scan revealed the severity, prompting emergent management. The patient underwent esophageal stent placement, video-assisted thoracoscopic surgery-assisted total lung decortication, and three chest tubes placement, followed by antimicrobial therapy. Favorable outcomes were achieved with multidisciplinary intervention, highlighting the importance of timely recognition and comprehensive diagnostic approaches. This case underscores the potential severity of hiatal hernias, particularly paraesophageal types, necessitating vigilance among clinicians for timely intervention. It also emphasizes the effectiveness of combined surgical and medical multidisciplinary approaches in such emergent situations for optimal patient outcomes.

Indexed as

gastric perforationhiatal herniahydropneumothoraxparaesophageal hiatal herniapleural effusion

Identifiers

PMID38827418
PMCPMC11144303

What OpenQuestion holds

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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.