Abstract
Aortoenteric fistula is a rare and fatal condition that usually results from aortic aneurysms and is secondary to aortic surgery. The other causes are foreign bodies, infections, esophageal or bronchial malignancies, and caustic ingestions. Endoscopy shows a pulsatile submucosal mass, bluish-gray discoloration of the esophageal mucosa due to intramural hematoma, fistula orifice, esophagitis, and esophageal ulcers. Biopsy should not be performed. Emergency surgery should be performed in the presence of aortoesophageal fistula suspicion secondary to clinical presentation and imaging studies. Herein, we report a patient with aortoesophageal fistula who admitted to the hospital due to hemoptysis, dyspnea, nausea, and vomiting.
References
- Rubio S, Santander C, Mingo A, et al. Upper digestive hemorrhage due to aortoesophageal fistula. Gastroenterol Hepatol 2006;29:338-40.
- Christensen JD, Heyneman LE. Case of the season: aortoesophageal fis- tula complicating thoracic aortic aneurysmstent graft repair. Semin Ro- entgenol 2009;44:4-7.
- Sunada M, Ito T, Nakayama M, et al. Aortoesophageal fistula due to tho- racic aortic aneurysm; report of a case Kyobu Geka. 2009;62:247-50.
- Akaraviputh T, Sriprayoon T, Prachayakul V, Sakiyalak P. Endoscopic diagnosis of secondary aortoesophageal fistula. Endoscopy 2008;402: E90.
Abstract
Aortoözofageal fistül, genellikle aort anevrizması ve rekonstriksiyon cerrahisi sonrasında, nadiren de yabancı cisim, infeksiyonlar, maligniteler, koroziv madde içimi sonucunda izlenir. Tanı ve tedavisi zor olup mortalitesi oldukça yüksektir. Endoskopik olarak pulsatil submukozal kitlesel görünüm, fistül ağzı, intramural hematom nedeniyle mavi-grimsi renk, özofajit ve ülser izlenebilir. Biyopsi alınmamalıdır. Klinik şüphe ve görüntülemede aortoözofageal fistül düşünüldüğünde acil cerrahi girişim yapılmalıdır. Burada hemoptizi, bulantı, kusma ve nefes darlığı ile başvuran bir aortoözofageal fistül olgusu sunulmaktadır.
References
- Rubio S, Santander C, Mingo A, et al. Upper digestive hemorrhage due to aortoesophageal fistula. Gastroenterol Hepatol 2006;29:338-40.
- Christensen JD, Heyneman LE. Case of the season: aortoesophageal fis- tula complicating thoracic aortic aneurysmstent graft repair. Semin Ro- entgenol 2009;44:4-7.
- Sunada M, Ito T, Nakayama M, et al. Aortoesophageal fistula due to tho- racic aortic aneurysm; report of a case Kyobu Geka. 2009;62:247-50.
- Akaraviputh T, Sriprayoon T, Prachayakul V, Sakiyalak P. Endoscopic diagnosis of secondary aortoesophageal fistula. Endoscopy 2008;402: E90.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | August 1, 2009 |
| Published in Issue | Year 2009 Volume: 17 Issue: 2 |