Primary aortoesophageal fistula from metallic bristle ingestion

Abstract

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A fatal aorto-oesophageal fistula due to a mutton bone: A case report

“…Complications of oesophageal foreign bodies can be devastating, ranging from mucosal ulceration, oesophageal perforation, primary AEF, mycotic aortic aneurysms, and sepsis due to mediastinitis [ 7 , 8 ]. Oesophagus with its inherent unadaptable properties, peristalsis, and proximity to the thoracic aorta makes it more prone to such complications [ 9 ]. Oesophageal foreign bodies represent the second commonest cause (19 %) for AEF [ 10 ].…”

“…These are less invasive and facilitate faster control of bleeding, with mortality rates around 40 % at 7 months [ 17 ]. Since endovascular repair does not deal with the oesophageal component of the AEF, fatal mediastinitis could ensue and recurrent infection and death in the intermediate period are likely [ 9 ]. This warrants definite open surgery with aortic repair and concurrent oesophageal reconstruction.…”