Evidence map›Paper›PMID 40894948›Full record

ArticleJournal of surgical case reports2025

Delayed presentation of aortoenteric fistula after esophagectomy.

Maya Shah, Peter H Liu, Nicholas Iglesias, Raphael Lee, Alan S Livingstone

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 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

5 authors.

Maya ShahUniversity of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL 33136, United States.ORCID https://orcid.org/0009-0005-6200-9718
Peter H LiuDepartment of Surgery, University of Miami Miller School of Medicine, 1475 NW 12th Ave, Miami, FL 33136, United States.ORCID https://orcid.org/0000-0001-5037-085X
Nicholas IglesiasDepartment of Surgery, University of Miami Miller School of Medicine, 1475 NW 12th Ave, Miami, FL 33136, United States.
Raphael LeeUniversity of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL 33136, United States.
Alan S LivingstoneDepartment of Surgery, University of Miami Miller School of Medicine, 1475 NW 12th Ave, Miami, FL 33136, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aortoenteric fistula (AEF) is a rare but catastrophic complication following esophagectomy, often resulting in massive upper gastrointestinal bleeding and high mortality. While most cases occur early in the postoperative period, delayed presentations remain poorly understood. We report the case of a 54-year-old woman who underwent esophagectomy and gastric pull-up for mid-esophageal squamous cell carcinoma. Nine months postoperatively, the patient presented with hematemesis, hemorrhagic shock, and died despite resuscitative efforts. Autopsy revealed a 0.9 cm erosion in the descending thoracic aorta with adjacent ulceration of the gastric conduit and bacterial infiltration consistent with a thoracic AEF. This case illustrates a rare, delayed presentation of AEF confirmed by post-mortem analysis. It highlights the need for ongoing clinical vigilance even in patients with initially uncomplicated recoveries.

Indexed as

aortoenteric fistuladelayed complicationesophagectomygastric conduitthoracic aorta

Identifiers

PMID40894948
PMCPMC12394128

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.