Popova I E, Danielian Sh N, Pogodina A N, Chernaia N R, Muslimov R Sh, Mironov A V, Kokov L S
Department of Radiodiagnosis, Research Institute of Emergency Medicine named after N.V. Sklifosovsky of the Moscow Healthcare Department, Moscow, Russia.
Department of Thoracoabdominal Surgery, Research Institute of Emergency Medicine named after N.V. Sklifosovsky of the Moscow Healthcare Department, Moscow, Russia.
Angiol Sosud Khir. 2020;26(3):108-114. doi: 10.33529/ANGIQ2020303.
An aorto-oesophageal fistula is a rare but life-threatening pathological condition developing on the background of diseases of the aorta and oesophagus, as well as after surgical interventions on the aorta. The article deals with a clinical case report regarding management of a patient presenting with an aorto-oesophageal fistula resulting from a thoracic artery aneurysm. The main clinical manifestations of the diseases included dysphagia (due to oesophageal obstruction caused by thrombotic masses of the aneurysm) and the occurring gastrointestinal haemorrhage. Comprehensive instrumental diagnosis was performed using roentgen examination of the oesophagus, oesophagoscopy, and contrast-enhanced computed tomography of the chest. The obtained findings made it possible to objectively assess the patient's state, to carry out timely treatment in conditions of a surgical hospital, and to avoid severe complications.
主动脉食管瘘是一种罕见但危及生命的病理状况，它在主动脉和食管疾病的背景下发生，也可在主动脉手术后出现。本文讲述了一例因胸主动脉瘤导致主动脉食管瘘患者的治疗临床病例报告。该疾病的主要临床表现包括吞咽困难（由于动脉瘤的血栓块导致食管梗阻）和出现的胃肠道出血。采用食管X线检查、食管镜检查以及胸部增强计算机断层扫描进行了全面的器械诊断。所获得的检查结果使客观评估患者状况、在外科医院条件下及时进行治疗以及避免严重并发症成为可能。
