Upper gastrointestinal bleeding (UGIB) in children has multiple etiologies but fortunately is not encountered commonly by pediatricians. Aorto-esophageal fistula (AEF) in children is a rare cause of UGIB and it is mainly secondary to accidental ingestion of foreign bodies, particularly disc batteries, or after cardiothoracic surgery. In this study, we report a case of a 3-year-old child who developed de novo AEF with no prior injury to the esophagus. The child presented with massive UGIB leading to hypovolemic shock, acute kidney injury, and cardiac arrest. The torrential bleed was controlled using a Sengstaken-Blakemore Tube (SBT), which allowed urgent chest CT angiography as well as subsequent thoracotomy and repair of the fistula Unfortunately, the child succumbed to repeated cardiac arrests secondary to the renal injury and severe acidosis. This case highlights the need for the early recognition of massive UGIB in children and the requirement to make appropriately sized SBTs available in all pediatric gastroenterology units.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372569 | PMC |
| http://dx.doi.org/10.1016/j.ijpam.2017.10.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Successful surgical treatment for aortoenteric fistula after esophagectomy: a case report.
Gen Thorac Cardiovasc Surg Cases
July 2024
Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
Background: An aortoenteric fistula (AEF) is a rare and lethal complication of esophagectomy. Fistulas frequently result from problems regarding acute infections or leaks, which are typically evident weeks after the treatment. However, some cases exhibit AEF years after the initial operation.
View Article and Find Full Text PDFApplication of "hand as foot" teaching method in compression haemostasis of Sengstaken-Blakemore tube.
Asian J Surg
July 2024
Inner Mongolia Medical University, Department of Gastroenterology, Affiliated Hospital of Inner Mongolia Meicdal University, Huhehot North Street, Inner Mongolia, 010050, China.
Use of a Sengstaken-Blakemore tube in a lifesaving non-variceal oesophageal bleed from pseudoaneurysms of the superior and inferior thyroid arteries.
BMJ Case Rep
June 2024
Department of General Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
Thoracoscopic enucleation of an esophageal glomus tumor in the prone position: a case report and literature review.
Surg Case Rep
May 2024
Department of Surgery and Science, Faculty of Medicine, Academic Assembly, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.
Background: Glomus tumors (GT) generally occur in the skin. However, esophageal GT, an extremely rare condition, has no established standardized treatment guidelines. Herein, we report the case of an esophageal GT successfully removed by thoracoscopic enucleation in the prone position using intra-esophageal balloon compression.
View Article and Find Full Text PDFFactors influencing in-hospital mortality for salvage percutaneous transjugular intrahepatic portosystemic shunting in cirrhotic patients with recalcitrant variceal bleeding after failed endoscopic intervention.
S Afr Med J
December 2023
Department of Surgery, Faculty of Health Sciences, University of Cape Town, and Surgical Gastroenterology, Hepatopancreatico-Biliary Unit, Groote Schuur Hospital, Cape Town, South Africa.
Background: Endoscopic therapy is the first-line treatment of choice for control of acute variceal bleeding (AVB). In high-risk patients with persistent AVB despite pharmacological treatment and endoscopic intervention, percutaneous transjugular intrahepatic portosystemic shunting (TIPS) provides a minimally invasive salvage method to reduce portal pressure and control bleeding.
Objectives: To evaluate factors influencing in-hospital mortality after salvage TIPS (sTIPS) in patients with exsanguinating variceal bleeding despite medical treatment and endoscopic intervention.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!