Year 2021 / Volume 113 / Number 9
Letter
Massive upper gastrointestinal bleeding secondary to an esophago-arterial fistula (arteria lusoria)

687

DOI: 10.17235/reed.2021.7811/2021

Eduardo Valdivielso Cortázar, Andrea Guerro Moya, Pedro Alonso Aguirre,

Abstract
A 50-year-old patient with a history of hypopharyngeal cancer, laryngectomy, adjuvant chemoradiotherapy and incompetent tracheoesophageal fistula was admitted for elective pharingostomal surgery. During the surgery, he presented esophageal bleeding with hemodynamic instability. After stabilization, a gastroscopy was performed through the stoma, showing arterial bleeding 4-5 cm distal to the stoma, which was controlled with three hemostatic clips. After four hours, the patient presented a new episode of bleeding with hemodynamic instability and a Sengstaken-Blakemore tube was placed that stopped the bleeding. Computed tomography angiography (CT angiography) was performed, which showed an aberrant right subclavian artery with a retroesophageal pathway, in close contact with the area where the clips were placed. An endovascular stent was placed in the right subclavian artery with control of the bleeding after removal of the Sengstaken-Blakemore tube. The patient was discharged seven days later.
Share Button
New comment
Comments
No comments for this article
References
1) Malz G, Burri B. Aberrant subclavian artery (arteria lusoria): sex differences in the prevalence of various forms of the malformation. Evaluation of 1378 observations. Virchows Arch A Pathol Anat Histol 1978;380:303-15
2) Fernández-Álvarez P, Valladolid-León JM, Caunedo Álvarez A. Compresión esofágica por estructura vascular mediastínica como causa de disfagia lusoria. Rev Esp Enferm Dig 2020;112:505
3) Shires CB, Rohrer MJ. Anomalous Right Subclavian Artery- Esophageal Fistulae. Case Rep in Vasc Med 2018;7541904.
Related articles

Letter

Upper gastrointestinal bleeding and Rigler triad

DOI: 10.17235/reed.2023.9731/2023

Letter

A full hemostatic repertoire in a complex cirrhotic patient

DOI: 10.17235/reed.2022.9039/2022

Digestive Diseases Image

Bezoar: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.8311/2021

Letter

COVID-19 and aorto-enteric fistula

DOI: 10.17235/reed.2021.8272/2021

Digestive Diseases Image

Dysphagia lusoria: a little-known cause of dysphagia

DOI: 10.17235/reed.2018.5385/2017

Letter to the Editor

Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2017.4808/2016

Case Report

Downhill varices: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2015.3697/2015

Citation tools
Valdivielso Cortázar E, Guerro Moya A, Alonso Aguirre P. Massive upper gastrointestinal bleeding secondary to an esophago-arterial fistula (arteria lusoria). 7811/2021


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1219 visits.
This article has been downloaded 98 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 20/01/2021

Accepted: 28/01/2021

Online First: 11/02/2021

Published: 07/09/2021

Article revision time: 5 days

Article Online First time: 22 days

Article editing time: 230 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology