Primary Aortoesophageal Fistula Due to Esophageal Foreign Body: A Case Report

Abstract

BackgroundAortoesophageal fistula (AEF) is a rare but life-threatening condition that causes massive gastrointestinal hemorrhage (Lee, Jang, Kim, Cha, & Choi, 2019). It is imperative to recognize these bleeds as early as possible because the reported mortality approaches 77% with intervention and is 100% fatal without treatment (Parikh, Ali, & Wong, 2015;Yang, Hu, & Peng, 2018). Here, we report a case of a 75-year-old man who was diagnosed with a primary AEF due to hematemesis for 4 hours and was successfully treated with intervention. Case PresentationA 75-year-old man was admitted to our hospital because of hematemesis for 4 hours. The patient vomited about 400 ml of bright red blood with clots, accompanied by dizziness and fatigue. He did not have hypertension, coronary heart disease, or diabetes. He was a smoker for 30+ years, smoking five

Ingestion of a row of artificial dentures in an adult: A case report and review of the literature

“…Thoracic endovascular aortic repair not only becomes a bridge therapy for hemostasis but also may become one of the main therapies for AEF. [11] Following the first report on the removal of a FB with a flexible endoscope by McKechnie, there has been an increasing number of studies reporting the application of this method. In a single-center retrospective study, 97.92% of 144 endoscopic FB removal procedures were successfully performed.…”

“…Thoracic endovascular aortic repair not only becomes a bridge therapy for hemostasis but also may become one of the main therapies for AEF. [ 11 ]…”

Upper Gastrointestinal Tract Foreign Bodies

“…AEF with a pseudoaneurysm caused by an esophageal FB is a rare but serious complication. 4, 24 The most common site of an esophageal FB causing AEF is the thoracic esophagus at the level of the aortic arch. Once an AEF is diagnosed, timely open thoracic surgery is critical for successful treatment.…”