Komborozos V A, Belenis I, Malagari C, Yannopoulos P
Second Department of Surgery and the Department of Thoracic and Vascular Surgery, 'Evangelismos' General Hospital, Athens, Greece.
Dis Esophagus. 2017 Nov 1;11(1):66-67. doi: 10.1093/dote/11.1.66.
A case of delayed rupture of the thoracic aorta into the esophagus after blunt thoracic injury is reported. It involved a hemodynamically stable 18-year-old male patient without any clinical or radiological signs to indicate aortic injury. Aortoesophageal fistula presented in the fifth post traumatic day, with a sudden dyspnea episode, intraperitoneal hemorrhage and lower gastrointestinal bleeding, due to intraperitoneal and intragastric rupture of intramural esophageal hematoma.
本文报告一例钝性胸部损伤后胸主动脉延迟破裂至食管的病例。患者为一名18岁男性，血流动力学稳定，无任何临床或影像学征象提示主动脉损伤。伤后第5天出现主动脉食管瘘，表现为突然发作的呼吸困难、腹腔内出血和下消化道出血，原因是壁内食管血肿的腹腔内和胃内破裂。
