ArticleJACC. Case reports2026
Contained Juxtarenal Aortic Perforation in the Setting of Severe Warfarin-Associated Coagulopathy.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSevere warfarin-associated coagulopathy is a known cause of major bleeding; however, its relationship with large-vessel structural complications remains poorly defined. Spontaneous rupture or perforation of a nonaneurysmal abdominal aorta is rare and may present atypically, particularly when hemorrhage is contained. CASE PRESENTATION: A 90-year-old woman on chronic warfarin therapy presented with abdominal pain and an unmeasurable international normalized ratio. Computed tomography demonstrated a contained juxtarenal aortic perforation with a retroperitoneal hematoma, whereas prior imaging weeks earlier showed no aneurysm. Anticoagulation was reversed and hemodynamic control was initiated. Because of high operative risk, she was transitioned to comfort-focused care. DISCUSSION: This case highlights acute aortic perforation in the absence of prior aneurysmal disease. Although anticoagulation is unlikely to directly cause rupture, it may exacerbate hemorrhage following structural disruption, likely related to underlying atherosclerotic or ulcerative pathology.
conclusionEarly imaging, prompt reversal, and hemodynamic control are essential, although outcomes remain poor without definitive intervention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.