Evidence map›Paper›PMID 39156197›Full record

ArticleClinical case reports2024

Upper gastrointestinal bleeding from primary aortoesophageal fistula in a patient with aneurism of the thoracoabdominal aorta: Case report and literature review.

Elena Curakova Ristovska, Gregor Krstevski, Misel Andov, Aleksandar Kolev, Kristijan Bundovski, Kemal Rusiti, Svetozar Antovic, Ivan Rankovic, Smiljana Bundovska Kocev, Natasa Hadzi-Nikolova Alcinova and 1 more

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. 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
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.

  1. 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

11 authors.

Elena Curakova RistovskaUniversity Clinic for Gastroenterohepathology Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0001-8855-3045
Gregor KrstevskiUniversity Clinic for Gastroenterohepathology Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0002-6240-0750
Misel AndovFaculty of Medicine Ss. Cyril and Methodius University in Skopje Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0002-5263-764X
Aleksandar KolevFaculty of Medicine Ss. Cyril and Methodius University in Skopje Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0003-2516-4872
Kristijan BundovskiUniversity Clinic for State Cardiac Surgery Skopje Republic of North Macedonia.ORCID https://orcid.org/0009-0004-4606-8315
Kemal RusitiUniversity Clinic of Digestive surgery Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0001-8272-953X
Svetozar AntovicFaculty of Medicine Ss. Cyril and Methodius University in Skopje Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0003-3068-4987
Ivan RankovicDepartment of Gastroenterology and Liver Unit Royal Cornwall Hospitals NHS trust Truro England UK.ORCID https://orcid.org/0000-0002-5767-3914
Smiljana Bundovska KocevFaculty of Medicine Ss. Cyril and Methodius University in Skopje Skopje Republic of North Macedonia.ORCID https://orcid.org/0000-0002-4220-6264
Natasa Hadzi-Nikolova AlcinovaUniversity Clinic of Radiology Skopje Republic of North Macedonia.ORCID https://orcid.org/0009-0004-8612-0894
Ante BogutSchool of Medicine, University of Mostar Mostar Bosnia and Herzegovina.ORCID https://orcid.org/0000-0003-1267-7011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Upper gastrointestinal bleeding due to primary aortoesophageal fistula is a rare clinical condition burdened with high mortality rate. However, the outcomes are closely related to the level of clinical awareness, the complementary and multidisciplinary approach during the diagnostic workup, and the selected treatment option. Abstract: We present an atypical case of an aneurysm of the thoracoabdominal aorta complicated with primary aortoesophageal fistula (AEF). A 55-year-old male with no previous diseases, presented with prolonged and intense back pain and upper gastrointestinal bleeding. The gastroscopy detected an unusual culprit lesion in the distal esophagus resembling an esophageal wall defect, and the computed tomography revealed an aneurysm of the thoracoabdominal aorta, remarkable surrounding hematoma, and active contrast extravasation. Despite the urgent surgical repair, a lethal outcome occurred. AEF patients require high clinical awareness and complementary multidisciplinary approach in order to provide a rapid diagnosis and optimal treatment.

Indexed as

aortic aneurysmcomputed tomographygastroscopyprimary aortoesophageal fistulaupper gastrointestinal bleeding

Identifiers

PMID39156197
PMCPMC11327272

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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.