Upper Gastrointestinal Bleeding Caused by Aortoesophageal Fistula

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A Cause of Mortal Massive Upper Gastrointestinal Bleeding: Aortoesophageal Fistula

INTRODUCTION Aortoesophageal fistula is an uncommon but mortal cause of massive upper gastrointestinal bleeding. The most common causes are thoracic aortic aneurisym, foreign body reaction, malignancy and postoperative complication. It can be seen in different pattern on upper gastrointestinal endoscopy. There are surgical, endoscopic and interventional radiological treatment options, however, ...

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Aortoesophageal fistula caused by tumor recurrence after esophagectomy during chemoradiotherapy

Aortoesophageal Fistula (AEF) is an extremely rare complication after esophagectomy and it is lifethreatening. Here we present a patient who developed AEF due to chemoradiotherapy for tumor recurrence after esophagectomy. The management of an aorta fistula by deploying a stent graft into the aorta stopped the bleeding successfully. Unfortunately, the patient had symptoms and his general conditi...

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Surgical management of aortoesophageal fistula caused by foreign bodies.

OBJECTIVE Aortoesophageal fistula (AEF) is a rare complication of foreign-body ingestion but is often life threatening. METHODS Between July 2006 and July 2009, four patients (two male and two female, age between 54 and 62 years old) with AEF were treated in our center. Cardiopulmonary bypass was established in all cases. The infected aorta was resected and replaced with aortic Dacron graft. ...

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Azygoesophageal fistula: a rare cause of upper gastrointestinal tract bleeding.

A 73-year-old man, who had a history of thoracic aorta aneurysm and aortic valve replacement operations 25 years ago and anemia diagnosed 4 years previously who was currently taking warfarin, propranolol, and iron preparations, presented to the emergency department with melena and hematemesis. His blood pressure was 90/60mmHg and his heart rate was 108 beats per minute. Investigations showed he...

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Cholecysto-duodenal fistula as the source of upper gastrointestinal bleeding.

A 44-year-old woman was admitted with recurrent hematemesis. She had a history of intermittent upper abdominal pain, which was investigated by computed tomography (CT) scan 1 year prior to the presentation (●" Fig.1). She was taking aspirin for ischemic heart disease. On examination, her heart rate was 110bpm and she had postural hypotension. She was febrile (38.7°C) and had epigastric tenderne...

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ژورنال

عنوان ژورنال: Clinical Gastroenterology and Hepatology

سال: 2016

ISSN: 1542-3565

DOI: 10.1016/j.cgh.2016.08.013