Brotherton T, Numan L, Al-Kaade S. Timely Endoscopic Recognition of Aortoesophageal Fistula With Successful Treatment.
ACG Case Rep J 2023;
10:e01123. [PMID:
37547481 PMCID:
PMC10402988 DOI:
10.14309/crj.0000000000001123]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 06/23/2023] [Accepted: 07/10/2023] [Indexed: 08/08/2023] Open
Abstract
Aortoesophageal fistula (AEF) is a devastating cause of upper gastrointestinal bleeding that occurs because of pathologic communication of the esophagus with the aorta. Bleeding AEF has high mortality even with appropriate interventions. In this study, we present a case of a 52-year-old man who presented with hematemesis, which was found to be due to an actively bleeding AEF. Prompt identification of the fistula led to multiple endoscopic interventions that stabilized the patient and allowed him to undergo emergent endovascular aortic stent placement with successful bleeding control.
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