AI Article Synopsis
- An aortoesophageal fistula is a rare and dangerous condition that occurs when there's an abnormal connection between the aorta and the esophagus, leading to high mortality rates from upper gastrointestinal bleeding.
- A 77-year-old man who had surgery for a ruptured abdominal aortic aneurysm experienced melena (dark, tarry stools) and was found to have an esophageal ulcer that could progress to this fistula.
- After identifying the ulcer through an upper gastrointestinal endoscopy, he underwent thoracic endovascular aortic repair, which successfully prevented a serious complication, and his recovery was smooth thereafter.
Article Abstract
An aortoesophageal fistula, an abnormal anatomical communication between the aorta and the esophagus, is a rare cause of upper gastrointestinal bleeding. The mortality rate of patients with this condition is very high. A 77-year-old man, who had undergone endovascular aortic repair for a ruptured abdominal aortic aneurysm, developed melena. An upper gastrointestinal endoscopy was performed. This detected an esophageal ulcer, which had the potential to develop into an aortoesophageal fistula. Therefore, thoracic endovascular aortic repair was performed on the following day. Thereafter, the course was uneventful. We encountered a rare case of an esophageal ulcer associated with a thoracoabdominal aortic aneurysm before it developed into an aortoesophageal fistula.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6514484 | PMC |
| http://dx.doi.org/10.1159/000500067 | DOI Listing |
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