Evidence map›Paper›PMID 39570503›Full record

ArticleClinical journal of gastroenterology2025

A case of esophagogastric submucosal hematoma with hemorrhagic shock.

Yumiko Kaise, Kaname Uno, Yohei Ogata, Masahiro Saito, Xiaoyi Jin, Waku Hatta, Tomoyuki Koike, Hideki Ota, Kei Takase, Atsushi Masamune

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical journal of gastroenterology, 2025. 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

10 authors.

Yumiko KaiseDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Kaname UnoDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan. kaname.uno.c3@tohoku.ac.jp.ORCID http://orcid.org/0000-0002-4739-8795
Yohei OgataDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Masahiro SaitoDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Xiaoyi JinDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Waku HattaDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Tomoyuki KoikeDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Hideki OtaDivision of Diagnostic Radiology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Kei TakaseDivision of Diagnostic Radiology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.
Atsushi MasamuneDivision of Gastroenterology, Graduate School of Medicine, Tohoku University, 1-1, Seiryo-Cho, Aoba-Ku, Sendai, 981-8574, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 70-year-old woman had been taking steroids for granulomatosis with polyangiitis since the age of 60 years and warfarin for deep vein thrombosis since the age of 63 years. She was admitted to the emergency unit of our hospital in a shock vital with complaints of sudden onset of epigastralgia, nausea, and melena. Laboratory data revealed anemia, hypoalbuminemia, and coagulation disorders. Enhanced computed tomography demonstrated extravasation in the middle part of the gastric body in an extensive submucosal hematoma extending from the upper esophagus to the entire gastric body. Emergency esophagogastroduodenoscopy depicted a large submucosal hematoma and a large amount of fresh blood in the stomach; however, active bleeding was not identified. Two sessions of interventional radiology treatment in the emergency department, followed by an intensive care, successfully treated the patient without any complications. We report a unique case of a sudden-onset esophagogastric submucosal hematoma with hemorrhagic shock requiring an intensive care and interventional radiology treatment. In this case, the extensive warfarization and the fragility in vascular and connective tissue components in the submucosa due to the long-term steroid therapy and the granulomatosis with polyangiitis-related alteration might comprehensively cause severe esophagogastric submucosal hematoma even without any apparent triggers.

Indexed as

Esophageal DiseasesGastrointestinal HemorrhageHematomaShock, HemorrhagicStomach DiseasesAgedFemaleGranulomatosis with PolyangiitisHumansTomography, X-Ray ComputedCoagulation disorderCollagen diseaseEsophagogastric submucosal hematomaIntervention radiologyShock

Identifiers

PMID39570503

What OpenQuestion holds

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Registered trials

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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.