Atypical Aortoesophageal Fistula with Atypical and Delayed Presentation and Negative Imaging Studies
Joint Authors
Hakim, Seifeldin
Gjeorgjievski, Mihajlo
Garg, Lohit
Orosey, Molly
Desai, Tusar
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 59-year-old man with past medical history of thoracic aortic aneurysm treated with thoracic endovascular aortic repair presented with melena for 2 weeks.
Initial EGD did not reveal the source of bleeding and showed normal esophagus; abdominal arteriogram did not reveal a fistulous communication and initial CTA showed normal position of the aortic graft stent without endoleak.
The sixth EGD revealed a submucosal tumor-like projection in the upper esophagus and stigmata of recent bleeding.
Another thoracic endovascular aortic repair with stent was placed over the old graft for presumed aortoesophageal fistula.
Poststent upper gastrointestinal series with contrast showed extravasation of the contrast from the esophagus and CTA showed fistulous tract between aorta and esophagus.
The patient refused definitive surgical repair despite having infected aortic graft; jejunostomy tube was placed and life-long suppressive antibiotic treatment was given and the patient is doing well at 2-year follow-up.
American Psychological Association (APA)
Hakim, Seifeldin& Gjeorgjievski, Mihajlo& Garg, Lohit& Orosey, Molly& Desai, Tusar. 2016. Atypical Aortoesophageal Fistula with Atypical and Delayed Presentation and Negative Imaging Studies. Case Reports in Gastrointestinal Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100813
Modern Language Association (MLA)
Hakim, Seifeldin…[et al.]. Atypical Aortoesophageal Fistula with Atypical and Delayed Presentation and Negative Imaging Studies. Case Reports in Gastrointestinal Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1100813
American Medical Association (AMA)
Hakim, Seifeldin& Gjeorgjievski, Mihajlo& Garg, Lohit& Orosey, Molly& Desai, Tusar. Atypical Aortoesophageal Fistula with Atypical and Delayed Presentation and Negative Imaging Studies. Case Reports in Gastrointestinal Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100813
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100813