Year 2023 / Volume 115 / Number 4
Letter
Aortoesophageal fistula as a fatal complication of esophageal perforation

211-212

DOI: 10.17235/reed.2023.9479/2023

Elena Crespo Álvarez, Clara Giménez Francés, Inmaculada Navarro García, Cristóbal Perán Fernández, Cecilia Gijón Román, Beatriz Gómez Molina, Virginia Casado García, José Luis Vázquez Rojas,

Abstract
Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The typical symptoms known as the Chiari´s triad are only present in 45% of reported cases. We present the case of a patient with upper gastrointestinal bleeding due to an aortoesophageal fistula as well as the importance of endoscopic use for its differential diagnosis.
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References
(1) Hollander JE, Quick G. Aortoesophageal fistula: A comprehensive review of the literature. Am J Med. 1991;91(3):279–87.
(2) Núñez Delgado Y, Díaz Rubia L, Milena Muñoz A. Hemorragia digestiva secundaria a fístula aortoentérica primaria. Rev Esp Enferm Dig 2020;112(5):416-7.
(3) Yang Y, Hu D, Peng D. Primary aortoesophageal fistula: A fatal outcome. Am J Emerg Med 2018;36(2):343.e1-343.e3.
(5) Kubota S, Shiiya N, Shingu Y, et al. Surgical strategy for aortoesophageal fistula in the endovascular era. Gen Thorac Cardiovasc Surg 2013;61(10):560- 4.
(4) Carballo-Folgoso L, Fernández Menéndez M, Álvarez-Cofiño A, Fernández-Cadenas F, Cuevas Pérez J, Fraile López M. Endoscopic diagnosis of primary aortoesophageal fistula: An extremely rare cause of acute upper gastrointestinal bleeding. Rev Esp Enferm Dig. 2022 Jul;114(7):436-437.
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Citation tools
Crespo Álvarez E, Giménez Francés C, Navarro García I, Perán Fernández C, Gijón Román C, Gómez Molina B, et all. Aortoesophageal fistula as a fatal complication of esophageal perforation. 9479/2023


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Publication history

Received: 16/01/2023

Accepted: 21/01/2023

Online First: 13/02/2023

Published: 03/04/2023

Article Online First time: 28 days

Article editing time: 77 days


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