Minyard A N, Smith D M
Montgomery County Coroner's Office, Dayton, Ohio, USA.
Am J Forensic Med Pathol. 2000 Mar;21(1):74-8. doi: 10.1097/00000433-200003000-00014.
A rare and potentially fatal cause of hematemesis is fistula formation between the esophagus and the vascular system. A case report of a 39-year-old woman with congenital aortic arch anomalies hospitalized for treatment of head injuries demonstrates the potential for iatrogenic esophageal trauma to initiate fistula formation between the esophagus and an anomalous arterial system. A literature review revealed 6 other cases of vascular-esophageal fistulae caused by nasogastric esophageal intubation. It is concluded that aortic arch anomalies increase the risk of esophageal injury and subsequent fistula formation from nasogastric esophageal intubation. In addition, the clinical features and pathologic findings of vascular-esophageal fistulae are reviewed.
呕血的一种罕见且可能致命的原因是食管与血管系统之间形成瘘管。一名39岁患有先天性主动脉弓异常的女性因头部受伤住院治疗，该病例报告显示医源性食管创伤有可能引发食管与异常动脉系统之间形成瘘管。文献回顾发现另外6例因鼻胃管食管插管导致的血管 - 食管瘘病例。得出的结论是，主动脉弓异常会增加鼻胃管食管插管导致食管损伤及随后形成瘘管的风险。此外，还对血管 - 食管瘘的临床特征和病理发现进行了综述。
