主动脉-食管瘘：呕血最罕见的病因——能否抢救？

Aorto-oesophageal fistula: rarest cause of haematemesis - is it salvageable?

机构信息

Cardiothoracic and Vascular Surgery, PSGIMSR, Coimbatore, Tamil Nadu, India.

PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India

出版信息

BMJ Case Rep. 2021 Nov 29;14(11):e245396. doi: 10.1136/bcr-2021-245396.

DOI:10.1136/bcr-2021-245396

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8634226/

Abstract

A 60-year-old man presented with severe abdominal pain, two episodes of massive haematemesis and chest discomfort. CT angiography showed a saccular aneurysm of the juxtaphrenic aorta with possible oesophageal erosion. Upper GI endoscopy revealed external compression of the lower oesophagus-near total luminal obstruction with impending rupture of the aortic aneurysm. Emergency aneurysmal repair by interposition grafting using 20 mm Dacron graft with oesophageal-gastric reconstruction done. Postoperative period was uneventful.

摘要

一位 60 岁男性因严重腹痛、两次大量呕血和胸部不适就诊。CT 血管造影显示膈旁主动脉呈囊状动脉瘤，可能伴有食管侵蚀。上消化道内镜检查显示下段食管受压-几乎完全管腔阻塞，伴主动脉瘤破裂的风险。采用 20mm 涤纶移植物进行介入性移植修复动脉瘤，同时进行食管胃重建。术后情况平稳。

相似文献

1

Aorto-oesophageal fistula: rarest cause of haematemesis - is it salvageable?主动脉-食管瘘：呕血最罕见的病因——能否抢救？

BMJ Case Rep. 2021 Nov 29;14(11):e245396. doi: 10.1136/bcr-2021-245396.

2

Total endoluminal repair of aorto-oesophageal fistula.主动脉-食管瘘的全腔内修复。

BMJ Case Rep. 2022 Jun 1;15(6):e246539. doi: 10.1136/bcr-2021-246539.

3

[Aorto-oesophageal fistula due to an aortic endovascular prosthesis: case report and state of the art].[主动脉腔内修复假体导致的主动脉-食管瘘：病例报告及最新进展]

Chir Ital. 2008 Jan-Feb;60(1):147-52.

4

An aorto-oesophageal fistula treated with total arch repair combined with oesophageal repair.升主动脉-食管瘘经全主动脉弓修复联合食管修复术治疗。

Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):145-147. doi: 10.1093/icvts/ivab038.

5

[Severe upper gastrointestinal hemorrhage of a rare cause: aorto-esophageal fistula successfully treated].[罕见病因所致严重上消化道出血：成功治疗的主动脉-食管瘘]

Chirurgia (Bucur). 2005 Nov-Dec;100(6):599-604.

6

Primary aorto-oesophageal fistula due to oesophageal carcinoma. Report of a successfully managed case.

Int Angiol. 2000 Sep;19(3):290-3.

7

Massive hematemesis due to an aorto-oesophageal fistula. Case report.主动脉食管瘘导致的大量呕血。病例报告。

Acta Chir Scand. 1987 Apr;153(4):317-9.

8

Surgical management without resection of the oesophagus for aorto-oesophageal fistula secondary to aortic arch aneurysm rupture.主动脉弓动脉瘤破裂继发主动脉食管瘘的非食管切除手术治疗

Interact Cardiovasc Thorac Surg. 2016 Dec;23(6):985-987. doi: 10.1093/icvts/ivw239. Epub 2016 Aug 19.

9

[Successful management of aorto-esophageal fistula due to rupture of thoracic aortic aneurysm in an elderly patient].[老年患者胸主动脉瘤破裂致主动脉食管瘘的成功治疗]

Jpn J Thorac Cardiovasc Surg. 1998 Aug;46(8):777-80. doi: 10.1007/BF03217820.

10

Aorto-oesophageal fistula following TEVAR: an unusual cause of mediastinal air.胸主动脉腔内修复术后发生的主动脉-食管瘘：纵隔积气的罕见原因。

BMJ Case Rep. 2013 May 22;2013:bcr2013009268. doi: 10.1136/bcr-2013-009268.

本文引用的文献

1

Aorto-esophageal fistula: a rare fatal case caused by esophageal malignancy.主动脉-食管瘘：一例由食管恶性肿瘤引起的罕见致命病例。

J Gastrointest Oncol. 2010 Sep;1(1):64-5. doi: 10.3978/j.issn.2078-6891.2010.006.

2

Aortoesophageal fistula after thoracic aortic stent-graft placement: a rare but catastrophic complication of a novel emerging technique.胸主动脉覆膜支架置入术后主动脉食管瘘：一种新型技术罕见但灾难性的并发症。

JACC Cardiovasc Interv. 2009 Jun;2(6):570-6. doi: 10.1016/j.jcin.2009.03.010.

3

Aortoesophageal fistula caused by aneurysm of the thoracic aorta: successful surgical treatment, case report, and literature review.胸主动脉瘤致主动脉食管瘘：手术治疗成功、病例报告及文献复习

J Vasc Surg. 1999 Dec;30(6):1150-7. doi: 10.1016/s0741-5214(99)70056-x.

4

Aortoesophageal fistula: recognition and diagnosis in the emergency department.主动脉食管瘘：急诊科的识别与诊断

Ann Emerg Med. 1998 Oct;32(4):502-5. doi: 10.1016/s0196-0644(98)70182-9.

5

Aortoesophageal fistula.主动脉食管瘘

Am J Surg. 1978 Jul;136(1):26-30. doi: 10.1016/0002-9610(78)90195-2.

文献AI研究员

20分钟写一篇综述，助力文献阅读效率提升50倍。

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

文档翻译

学术文献翻译模型，支持多种主流文档格式。