Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body
Journal of Surgery
Volume 3, Issue 1, February 2015, Pages: 1-3
Received: Nov. 27, 2014; Accepted: Dec. 29, 2014; Published: Jan. 17, 2015
Views 2808      Downloads 174
Authors
Omar Toumi, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Sadok Ben Jabra, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Ammar Mahmoudi, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Hanene Zenati, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Mohamed Ben Khlifa, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Wassim Kallel, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Khadija Zouari, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Noomen Faouzi, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Abdelaziz Hamdi, Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Article Tools
Follow on us
Abstract
Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.
Keywords
Aortoesophageal Fistula, Foreign Body, Sengstaken-Blakemore Tube, Hematemesis
To cite this article
Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, Wassim Kallel, Khadija Zouari, Noomen Faouzi, Abdelaziz Hamdi, Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body, Journal of Surgery. Vol. 3, No. 1, 2015, pp. 1-3. doi: 10.11648/j.js.20150301.11
References
[1]
Hollander JE, Quick G. Aortoesophageal fistula: a comprehensive review of the literature. Am J Med.1991; 91:279–87
[2]
Ming-Ho Wu, Wu-Wei Lai . Aortoesophageal Fistula Induced by Foreign Bodies. Ann Thovac Surg 1992;54:155-6.
[3]
Cheng LC1, Chiu CS. Foreign body-induced aorto-oesophageal fistula: a review of five cases and their management. Hong Kong Med J. 2006 Jun;12(3):219-21.
[4]
Stephen L Kelly, Paul Peters, Murray J Ogg, Alan Li, Bernard M Smithers. Successful management of an aortoesophageal fistula caused by a fish bone – case report and review of literature J Cardiothorac Surg. 2009; 4: 21.
[5]
Maher MM, Murphy J, Dervan P, et al. Aorto-oesophageal fistula presenting as a submucosal oesophageal haematoma. Br J Radiol. 1998;71:972–974
[6]
Heckstall, Robert L. et al. Aortoesophageal Fistula: Recognition and Diagnosis in the Emergency Department. Annals of Emergency Medicine , Volume 32 , Issue 4 , 502 - 505
[7]
Chiari H. U¨ ber Fremdko¨ rperverletzung des Oesophagus mit Aorten perforation. Berlin Klin Wschr. 1914;51:7–9.
[8]
Kieffer E, Chiche L, Gomes D. Aortoesophageal fistula: value of in situ aortic allograft replacement. Ann Surg. 2003 Aug;238(2):283-90.
[9]
Sloop RD, Thompson JC: Aorto-esophageal fistula: Report of a case and review of the literature. Gastroenterology 1967;53:768-777.
[10]
Hollander JE, Quick G: Aortoesophageal Fistula: A comprehensive review of the literature. Am J Med 1991, 91:279-287
[11]
Hollander JE, Quick G: A comprehensive review of the literature. Am J Med 1991; 91:279-286.
[12]
Han SY, Jander HP, Ho KJ: Aortoesophageal fistula. South Med J 1981; 74:1260-1262.
[13]
Kirchgatterer A, Punzengruber C, et al: A rare case of gastrointestinal hemorrhage: Aortoesophageal fistula following repair of aortic dissection. Endoscopy 1997;29:137-138.
[14]
Myers HS, Silber W. Oesophageal bleeding from aortoesophageal fistula due to aortic aneurysm. S Afr Med J. 1983 Jan 22;63(4):124-7.
[15]
Magnussen I, Notander A, Rieger A, et al: Massive hematemesis due to an aortoesophageal fistula [case report]. Acta Chir Scand 1987;153:317-319.
[16]
Yamada T, Sato H, Seki M, et al: Successful salvage of aortoesophageal fistula caused by a fish bone. Ann Thorac Surg 1996;61:1843-1845.
[17]
Reedy FM: Embolization of aortoesophageal fistula: A new therapeutic approach [letter]. J Vasc Surg 1988;8:349-350.
[18]
Sosnowik D, Greenberg R, Bank S, et al: Aortoesophageal fistula: Early and late endoscopic features. Am J Gastroenterol 1988;83:1401-1404.
[19]
Kennedy FR, Cornwell ED, Camel J, et al: Aortoesophageal fistula due to gunshot wounds: Report of two cases with one survivor. J Trauma 1995;38:971-974.
[20]
Pipinos II, Reddy DJ: Secondary aortoesophageal fistula. J Vasc Surg 1997;26:144-149.
[21]
Wang N, Sparks SR, Bailey LL: Staged repair using omentum for posttraumatic aortoesophageal fistula. Ann Thorac Surg 1994;58:557-559.
[22]
Luketich JD, Sommers KE, Griffith BP, et al: Successful management of secondary aortoesophageal fistula. Ann Thorac Surg 1996;62:1852-1854.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186