Hemorrhagic Shock Secondary to Aortoesophageal Fistula as a Complication of Esophageal Cancer.

Autor:	Guerrero I; Department of Surgery, San Ignacio Hospital-Pontificia Universidad Javeriana, Bogota, COL., Cuenca JA; Department of Critical Care and Respiratory Care, The University of Texas MD Anderson Cancer Center, Houston, USA., Cardenas YR; Department of Critical and Intensive Care, Hospital Universitario Fundación Santa Fe De Bogotá, Bogota, COL., Nates JL; Department of Critical Care and Respiratory Care, The University of Texas MD Anderson Cancer Center, Houston, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2020 Feb 29; Vol. 12 (2), pp. e7146. Date of Electronic Publication: 2020 Feb 29.
DOI:	10.7759/cureus.7146
Abstrakt:	Although aortoesophageal fistulas are rare, they can present as life-threatening emergencies. This condition can develop secondary to an aneurysm, foreign bodies, infiltrating tumors, and radiotherapy. We report a patient with hemorrhagic shock secondary to an aortoesophageal fistula. A 69-year-old male with squamous cell carcinoma of the esophagus treated with chemoradiation and metallic stent placement was admitted to the intensive care unit (ICU) after an episode of hematemesis. The patient was hemodynamically unstable, requiring fluid resuscitation, blood transfusions, and respiratory and vasopressor support. The patient developed electric pulseless activity, and cardiopulmonary resuscitation was performed for 40 minutes. An upper endoscopy showed the esophageal tumor infiltrating into the stent, and computed tomography (CT) angiogram showed leakage of contrast from the thoracic aorta to the esophagus. The diagnosis of aortoesophageal fistula was made. The patient underwent endovascular management for the fistula. However, his critical condition did not improve, and the patient perished. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Guerrero et al.)
Databáze:	MEDLINE
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