AI Article Synopsis
- A 77-year-old woman experienced general fatigue and was diagnosed with anemia, leading to her referral to a hospital for further evaluation.
- Upon examination, doctors found a submucosal lesion in her esophagus and a thoracic aortic aneurysm that was compressing the esophagus, ultimately causing an aorto-esophageal fistula.
- After surgery involving graft replacement and omental flap transposition, she recovered well and has had no complications in the three years since.
Article Abstract
A 77-year-old woman presented with general fatigue, was found to have anemia, and was referred to our hospital. Upper gastrointestinal endoscopy revealed a submucosal elevated lesion with a bleeding site and debris at the middle thoracic esophagus. Enhanced computed tomography demonstrated a thoracic aortic aneurysm compressing the esophagus. She was diagnosed with an aorto-esophageal fistula due to the thoracic aortic aneurysm. Graft replacement was performed under partial extracorporeal circulation. Because the perforation of the esophagus was small, omental flap transposition was performed without esophagectomy. Her post-operative course was uneventful, and she has been doing well without any infective episodes over 3 years after surgery.
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