Publicação

Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report

Detalhes bibliográficos
Resumo:	Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.
País:	Portugal
Tipo de documento:	journal article
Tipo de acesso:	Restrito
Instituição associada:	Angiologia e Cirurgia Vascular
Idioma:	português
Origem:	Angiologia e Cirurgia Vascular

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conditionsOfAccess_str	Copyright (c) 2016 Angiologia e Cirurgia Vascular
contentURL_str_mv	http://acvjournal.com/index.php/acv/article/view/11/14 http://acvjournal.com/index.php/acv/article/view/11
country_str	PT
description	Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.
documentTypeURL_str	http://purl.org/coar/resource_type/c_6501
documentType_str	journal article
id	beee04fb-61d6-4760-8148-8848d67623ed
identifierDoi_str	https://doi.org/10.48750/acv.11
language	por
relatedInstitutions_str_mv	Angiologia e Cirurgia Vascular
resourceName_str	Angiologia e Cirurgia Vascular
spellingShingle	Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report
title	Aortoesophageal fistula in a patient with carcinoma of the esophagus - Case report