Evidence map›Paper›PMID 40356808›Full record

ArticleSurgical case reports2025

Laparoscopic Intra-Mediastinum Omental Filling Repair for Spontaneous Esophageal Rupture: A Case Report.

Demba Ishimine, Hiroki Sunagawa, Maina Teruya, Keigo Hayashi

Abstract readCase Reports
In one paragraph

Article in Surgical case reports, 2025. 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. Review
  2. Review
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

4 authors.

Demba IshimineDepartment of Digestive and General Surgery, Nakagami Hospital.
Hiroki SunagawaDepartment of Digestive and General Surgery, Nakagami Hospital.
Maina TeruyaDepartment of Digestive and General Surgery, Nakagami Hospital.
Keigo HayashiDepartment of Digestive and General Surgery, Nakagami Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpontaneous esophageal rupture is a rare but life-threatening condition with a high mortality rate. While conservative and endoscopic therapies have been reported, surgical treatment remains essential. The optimal approach involves esophageal defect repair and mediastinal drainage, which is performed via laparotomy, thoracotomy, laparoscopy, or a combination of these techniques. We report a case of laparoscopic intramediastinal omental filling for a spontaneous esophageal rupture that was challenging to close. CASE PRESENTATION: A 62-year-old man presented with sudden-onset right-sided abdominal pain. Computed tomography and esophagography revealed a spontaneous rupture of the right wall of the lower esophagus. Laparoscopic surgery was performed 4 h following symptom onset. A partially necrotic area was identified in the lower esophagus. Given the difficulty of suturing the necrotic esophageal wall, the mediastinum was filled with the greater omentum to cover the perforation site. The patient had no significant postoperative complications and was discharged on the 24th postoperative day.

conclusionsLaparoscopic omental filling repair is a viable option for esophageal rupture when primary suture closure is not feasible.

Indexed as

laparoscopyomental fillingspontaneous esophageal rupture

Identifiers

PMID40356808
PMCPMC12066238

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