主动脉食管瘘是食管穿孔的致命并发症。

Aortoesophageal fistula as a fatal complication of esophageal perforation.

机构信息

Cirugía General y del Aparato Digestivo, Hospital General Universitario Santa Lucía, España.

Cirugía General y del Aparato Digestivo, Hospital General Universitario Santa Lucía.

出版信息

Rev Esp Enferm Dig. 2023 Apr;115(4):211-212. doi: 10.17235/reed.2023.9479/2023.

DOI:10.17235/reed.2023.9479/2023

PMID:36779461

Abstract

Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The typical symptoms known as the Chiari´s triad are only present in 45% of reported cases. We present the case of a patient with upper gastrointestinal bleeding due to an aortoesophageal fistula as well as the importance of endoscopic use for its differential diagnosis.

摘要

主动脉食管瘘是上消化道出血的一种罕见病因，但它的重要性在于其死亡率很高。因此，早期诊断和治疗对于提高生存率至关重要。典型的称为Chiari 三联征的症状仅在报告的病例中出现 45%。我们报告了一例因主动脉食管瘘导致上消化道出血的患者，并强调了内镜检查在其鉴别诊断中的重要性。