Evidence map›Paper›PMID 42669017›Full record

ArticleCureus2026

Esophageal Perforation During Dilation in a Patient With Hypopharyngeal Metastatic Squamous Cell Carcinoma.

David Ai, Mauna I Rao, Ashley C Wetzig

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

3 authors.

David AiDepartment of Anesthesiology, Baylor College of Medicine, Houston, USA.
Mauna I RaoDepartment of Anesthesiology, Baylor College of Medicine, Houston, USA.
Ashley C WetzigDepartment of Anesthesiology, Baylor College of Medicine, Houston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 75-year-old female with a history of stage IVa hypopharyngeal squamous cell carcinoma who presented with dysphagia due to cervical esophageal stricture after prior laryngopharyngectomy and cervical esophagectomy. During rigid pharyngeal dilation, an acute and uncontained cervical esophageal perforation involving the superior mediastinum occurred, leading to pneumomediastinum. This was immediately complicated by her surgically altered anatomy creating bilateral pneumothoraces, tension pneumoperitoneum, and subsequent hemodynamic instability. Prompt recognition and emergent intervention, including needle decompression, chest tube placement, exploratory laparotomy, and intensive postoperative care, stabilized the patient's condition. This case highlights the challenges in managing high-risk patients with complex airway and esophageal conditions, underscoring the importance of multidisciplinary coordination and rapid response in preventing fatal outcomes.

Indexed as

anesthesiaesophageal stricturehypopharyngeal canceriatrogenic esophageal perforation (iep)pneumoperitoneumpneumothoraxsecondary pneumomediastinum

Identifiers

PMID42669017
PMCPMC13525844

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.