ADVERTISEMENT

Home|Journals|Articles by Year|Audio Abstracts
 

Case Report

EJMCR. 2020; 4(11): 368-370


Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report

Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser.



Abstract
Download PDF Cited by 0 ArticlesPost

Background: The incidence of acute upper gastrointestinal bleeding (UGIB) has declined over the recent decades, and nowadays, due to improved endoscopic treatment options, only 2.6% of the patients with UGIB need additional surgical or angiographic intervention. In this report, we present the case of UGIB, refractory to endoscopic treatment, caused by a primary aortoesophageal fistula.
Case Presentation: A 72-year-old man with acute UGIB was referred to our clinic after unsuccessful endoscopic and surgical treatment in an external hospital. On admission, the patient showed prolonged hemorrhagic shock and abdominal compartment syndrome. An immediately conducted thoracoabdominal CT scan revealed a penetrating aortic ulcer of the descending aorta and the patient was transferred to the OR to undergo laparotomy. After confirmation of a primary aortoesophageal fistula as the origin of hemorrhage, an aortic stent graft was successfully placed to occlude the lesion. Despite severe blood loss and prolonged hemorrhagic shock, the patient recovered quickly and could be discharged on the 18th postoperative day.
Conclusion: Primary aortoenteric fistula is an uncommon clinical condition with a high mortality requiring an interdisciplinary treatment approach.

Key words: Case report, upper gastrointestinal bleeding, penetrating aortic ulcer, primary aortoenteric fistula







Bibliomed Article Statistics

11
16
16
18
16
21
13
30
24
20
36
14
R
E
A
D
S

14

6

9

13

8

7

6

16

10

12

9

4
D
O
W
N
L
O
A
D
S
080910111201020304050607
20242025

Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Author Tools
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.