Surviving a Catastrophic Upper Gastrointestinal Bleeding Caused by Esophageal-Subclavian Fistula: Case Report
| Autor: | Shaima M. Al-Aoun, Abdullah M. Alshehri, Musaad Alghamdi, Ali S. Alahmari, Khalid Y. Nabrawi, Mohamed-Elbagir K. Ahmed, Abdullah Alhaizaey, Abdulrahman Y. Asiri |
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| Rok vydání: | 2018 |
| Předmět: |
Gastrointestinal bleeding
medicine.medical_specialty medicine.diagnostic_test business.industry Impaction Fistula Upper endoscopy medicine.disease Surgery body regions medicine.anatomical_structure Angiography medicine cardiovascular diseases Upper gastrointestinal bleeding Esophagus business Chicken bone |
| Zdroj: | Open Journal of Gastroenterology. :209-212 |
| ISSN: | 2163-9469 2163-9450 |
| DOI: | 10.4236/ojgas.2018.86023 |
| Popis: | Arterio-esophageal fistula (AEF), whether congenital or acquired, is a rare condition which can lead to fatal upper gastrointestinal bleeding. We report here a young man who developed a subclavian-esophageal fistula (SEF) secondary to chicken bone impaction in the upper esophagus. The diagnosis was reached by urgent upper endoscopy and Computed Tomography of the chest which showed pseudo-aneurysmal changes at left subclavian artery with leaked contrast through the fistula towered the esophagus. Urgent endo-vascular angiography confirmed the subclavian arterio-esophageal fistula that was managed uneventfully using covered 6mm Viban stent-graft. The patient survived this serious condition and was discharged home in good condition. |
| Databáze: | OpenAIRE |
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