2026-10-11T12:19:34Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33994305 2026-09-25T09:34:03Z category_7 portal_147 item_type_3 month_year_09_2026

Supplemental Material for: A Pulsating Gastric Ulcer Revealing an Atrio-Gastric Conduit Fistula: A Case Report On Rare and Life-Threatening Late Complication After Esophagectomy figshare admin karger (2628495) Garvita Singhal (25108672) Rizwan Safdar (16964813) Medicine Medicine <p dir="ltr">Introduction:</p><p dir="ltr">Atrio-gastric conduit fistula (AGCF) is an exceedingly rare but often fatal complication following esophagectomy with gastric pull-through reconstruction. While fistulous communication involving the left atrium has been described in association with conditions such as atrial fibrillation and prior ablation procedures, its occurrence as a late complication of esophagectomy is exceptionally uncommon. Due to its rarity and nonspecific presentation, AGCF poses a significant diagnostic challenge.</p><p dir="ltr">Case Presentation:</p><p dir="ltr">We describe case of an elderly male with history of esophagectomy and chemoradiation, admitted for recurrent hematochezia and syncope. Upper endoscopy demonstrated a pulsatile gastric ulcer within the intrathoracic gastric conduit, raising concern for vascular communication, which was further diagnosed as a fistulous connection between left atrium and gastric lumen by imaging. This was treated with a surgical repair followed by successful recovery.</p><p dir="ltr">Conclusion:</p><p dir="ltr">This case highlights the importance of identifying atypical endoscopic features in cases of gastrointestinal bleeding and avoiding potentially catastrophic endoscopic intervention.</p> 2026-09-25T09:34:03Z Dataset Dataset 10.6084/m9.figshare.33994305.v1 https://figshare.com/articles/dataset/Supplemental_Material_for_A_Pulsating_Gastric_Ulcer_Revealing_an_Atrio-Gastric_Conduit_Fistula_A_Case_Report_On_Rare_and_Life-Threatening_Late_Complication_After_Esophagectomy/33994305 CC BY 4.0