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Sentinel Bleeding as a Sign of Gastroaortic Fistula Formation after Oesophageal Surgery
Joint Authors
Uittenbogaart, M.
Sosef, M. N.
van Bastelaar, J.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Gastroaortic fistula formation is a very rare complication following oesophageal resection and, in most cases, leads to sudden death.
We report the case of a 65-year-old male with an adenocarcinoma of the oesophagus who underwent neoadjuvant chemoradiation followed by a minimally invasive transthoracic oesophagectomy with gastric tube reconstruction and intrathoracic anastomosis.
After an uneventful postoperative course and hospital discharge, the patient reported blood regurgitation on postoperative day 23.
Endoscopy revealed an adherent blood clot on the oesophageal wall, which after dislocation caused exsanguination.
Autopsy determined the cause of death being massive haemorrhage due to a gastroaortic fistula.
The sudden onset of haemorrhage makes this condition particularly difficult to treat.
Recognition of warning signs such as thoracic or epigastric pain, regurgitation of blood, or the passing of bloody stools or melena is crucial in the early detection of fistula and may improve patient outcome.
American Psychological Association (APA)
Uittenbogaart, M.& Sosef, M. N.& van Bastelaar, J.. 2014. Sentinel Bleeding as a Sign of Gastroaortic Fistula Formation after Oesophageal Surgery. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017764
Modern Language Association (MLA)
Uittenbogaart, M.…[et al.]. Sentinel Bleeding as a Sign of Gastroaortic Fistula Formation after Oesophageal Surgery. Case Reports in Surgery No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017764
American Medical Association (AMA)
Uittenbogaart, M.& Sosef, M. N.& van Bastelaar, J.. Sentinel Bleeding as a Sign of Gastroaortic Fistula Formation after Oesophageal Surgery. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017764
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017764