Brotherton Tim, Numan Laith, Al-Kaade Samer
Department of Internal Medicine, Saint Louis University, Saint Louis, MO.
Department of Gastroenterology and Hepatology, Saint Louis University, Saint Louis, MO.
ACG Case Rep J. 2023 Aug 4;10(8):e01123. doi: 10.14309/crj.0000000000001123. eCollection 2023 Aug.
Aortoesophageal fistula (AEF) is a devastating cause of upper gastrointestinal bleeding that occurs because of pathologic communication of the esophagus with the aorta. Bleeding AEF has high mortality even with appropriate interventions. In this study, we present a case of a 52-year-old man who presented with hematemesis, which was found to be due to an actively bleeding AEF. Prompt identification of the fistula led to multiple endoscopic interventions that stabilized the patient and allowed him to undergo emergent endovascular aortic stent placement with successful bleeding control.
主动脉食管瘘（AEF）是上消化道出血的一个灾难性病因，其发生是由于食管与主动脉之间存在病理性连通。即使采取适当干预措施，出血性AEF的死亡率仍很高。在本研究中，我们报告了一例52岁男性患者，该患者出现呕血，经检查发现是由活动性出血的AEF所致。瘘管的迅速识别促使进行了多次内镜干预，使患者病情稳定，并使其能够接受紧急血管内主动脉支架置入术，成功控制了出血。
