| 篇名 |
Fistula between Esophagust Subclavian Artery Caused by Foreign Body Penetration: Report of a Case |
| 作者 |
Jia-Ming Chang, Yueh-Feng Tsai*, Ming-Ho Wu,Yau-Lin Tseng, Wu-Wei Lai, Mu-Yen Lin, I-Ling Hsu |
| 卷期/出版年月 |
39卷1期 (2006/2) |
| 頁次 |
19-23 |
| 摘要 |
Arterio-esophageal fistula (AEF) is an extremely rare, life-threatening complication
caused by esophageal foreign body penetration. To the best of our knowledge, there
have been only two cases documented in the English literature. Herein we present a
44-year-old male with neck and chest pain after a problematic ingestion of duck bone.
Exsanguinating hematemesis occurred thirteen days later. Esophagoscopy revealed
an esophageal mucosal tear located at 25 cm from the incisors. A left subclavian
arterio-esophageal fistula at 2 cm above the root of the artery was controlled via an
oblique incision on the left of the neck with upper partial sternotomy, however, the
patient died the day following the surgery from multiple organ failure due to prolonged
shock and massive blood transfusion.
The clinical presentation of AEF resembles that of the aorto-esophageal fistula
(AoEF). The main difficulty in diagnosis and management caused by unstable clinical
status and limited time available necessitates high suspicion and urgent
esophagoscopy, and successful treatment requires early resuscitation, effective
bleeding control, and proper surgical planning. |
| 關鍵詞 |
subclavian arterio-esophageal fistula, esophageal foreign body,hematemesis |
| 分類 |
Case Report |
