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

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.

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Main Authors: Sousa,Gonçalo Queiroz de, Fernandes,Ruy Fernandes e, Pedro,Luís Mendes, Garrido,Pedro, Silvestre,Luís, Costa,Paulo, Fernandes,José Fernandes e
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Angiologia e Cirurgia Vascular 2016
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010
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spelling oai:scielo:S1646-706X20160003000102017-04-11Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case reportSousa,Gonçalo Queiroz deFernandes,Ruy Fernandes ePedro,Luís MendesGarrido,PedroSilvestre,LuísCosta,PauloFernandes,José Fernandes e Aortoesophageal fistula Aorta Endovascular stentgraft Esophageal stent Upper gastrointestinal bleeding 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.info:eu-repo/semantics/openAccessSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular v.12 n.3 20162016-09-01info:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010en10.1016/j.ancv.2016.03.003
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country Portugal
countrycode PT
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databasecode rev-scielo-pt
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region Europa del Sur
libraryname SciELO
language English
format Digital
author Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
spellingShingle Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
author_facet Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
author_sort Sousa,Gonçalo Queiroz de
title Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_short Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_full Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_fullStr Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_full_unstemmed Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_sort aortoesophageal fistula in a patient with carcinoma of the esophagus: case report
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.
publisher Sociedade Portuguesa de Angiologia e Cirurgia Vascular
publishDate 2016
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010
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