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。

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本文引用的文献

1

Aorto-esophageal fistula: a rare fatal case caused by esophageal malignancy.

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.

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.

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.

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

5

Aortoesophageal fistula.

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

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