Evidence map›Paper›PMID 41821802›Full record

ArticleFrontiers in gastroenterology (Lausanne, Switzerland)2023

A rare and severe complication after minimally invasive esophagectomy: First case of a left-sided tension pneumothorax caused by intrathoracic perforation of the herniated transverse colon. Case report and literature review.

Karim Mostafa, Carmen Wolf, Johannes Austrup, Frederike Franke, Olav Jansen, Marcus Both, Patrick Langguth

Abstract readCase Reports
In one paragraph

Article in Frontiers in gastroenterology (Lausanne, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Karim MostafaDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.
Carmen WolfDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.
Johannes AustrupDepartment of General, Visceral, Thoracic and Childrens' Surgery, University Hospital Schleswig-Holstein, Kiel, Germany.
Frederike FrankeDepartment of General, Visceral, Thoracic and Childrens' Surgery, University Hospital Schleswig-Holstein, Kiel, Germany.
Olav JansenDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.
Marcus BothDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.
Patrick LangguthDepartment of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nowadays, a minimally invasive surgical approach is increasingly being chosen to treat distal esophageal tumors. Here, postoperative hiatal herniation has been identified as a potentially severe complication. In such cases, it is still not known whether surgical or conservative treatment is preferable. In this report, we elaborate the case of a 62-year-old male patient who presented at our emergency department with severe chest pain. This patient had undergone minimally invasive esophagectomy with gastric pull-up 2 years prior to this event. Emergency computed tomography revealed a left-sided tension pneumothorax based on transhiatal herniation of the transverse colon causing an intrathoracic closed-loop obstruction with subsequent perforation. Immediate surgical treatment was initiated and the transverse colon could be successfully repositioned and resected. Nevertheless, the patient died due to postoperative septic shock in the setting of fecal peritonitis, mediastinitis, and pleuritis within 48 hours after surgery. We provide a detailed description of this rare case and provide a review of the literature concerning intrathoracic colonic herniations.

Indexed as

intrathoracic closed loop obstructionintrathoracic colonic perforationminimally invasive esophagectomypostesophagectomy diaphragmatic herniationtension pneumothorax

Identifiers

PMID41821802
PMCPMC12952337

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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.