Perigraft Abscess Subsequent to Aortoesophageal Fistula
| Autor: | Takeshige Kunieda, Masanori Murayama, Norie Takei, Yoshitaka Kumada |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Nausea endoleak Case Report Computed tomography 030204 cardiovascular system & hematology Thoracic aortic aneurysm Endoscopy Gastrointestinal Esophageal Fistula 03 medical and health sciences Fatal Outcome 0302 clinical medicine Aneurysm Aortoesophageal fistula Melena Internal Medicine medicine Humans Abscess Aged Vascular Fistula Aortic Aneurysm Thoracic medicine.diagnostic_test business.industry Septic shock aortoesophageal fistula (AEF) General Medicine medicine.disease Blood Vessel Prosthesis Surgery 030220 oncology & carcinogenesis perigraft abscess medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.0493-17 |
| Popis: | A 79-year-old man with appetite loss and nausea for 1 month was admitted to our hospital. His thoracic aortic aneurysm had gradually increased in size due to perigraft endoleak after the previous aneurysm repair surgery. Although he showed no hematemesis, melena, or a fever, gastrointestinal endoscopy and contrast-enhanced computed tomography (CT) revealed an aortoesophageal fistula (AEF). He developed septic shock due to a perigraft abscess and eventually died, although aortic graft replacement and esophageal transection were performed. Clinical suspicion is the most important factor for obtaining an accurate diagnosis and improving the prognosis in cases of AEF. |
| Databáze: | OpenAIRE |
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