BACKGROUND The vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect association and Mayer-Rokitansky-Küster-Hauser syndrome are rare conditions. We aimed to present two cases with the vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect association and Ma...

A 75-year-old male, known to have achalasia, was admitted to the intensive care unit with massive upper gastrointestinal bleeding and sepsis. He had a history of purulent pericarditis 18 months earlier. He also presented with atrial fibrillation associated with a cerebral transient ischemic accident two months earlier. A contrast computed tomography scan showed an atrio-esophageal fistula with ...

A 45-year-old woman with a history of systemic sclerosis presented with a postanastomotic gastric tube stenosis 1 year after esophagus resection and gastric tube interposition for a ypT3N1M0 adenocarcinoma of the esophagus. She was also treated with neo-adjuvant chemoradiation therapy [1]. Endoscopy identified a post-anastomotic esophageal stenosis extending from 24cm to 32cm aborally. She had ...

Esophageal self-expandable metal stents and radiotherapy are valuable in combination for palliation and definitive treatment of esophageal cancer. However, risk of aortoesophageal fistula is significant in patients with evidence of malignant aortic invasion. Use of thoracic endovascular repair may represent an approach to early intervention in high-risk patients.

We report a 19-year-old man with pulmonary squamous cell carcinoma (SCC) who had a history of vertebral, anal, cardiac, tracheal, esophageal, renal, and radial limb defects (VACTERL) association and tracheoesophageal fistula (TEF) + esophageal atresia (EA) repair as an infant. Children that undergo TEF + EA repair may have an increased risk for developing cancer as they reach adulthood.

A preterm newborn required pulmonary surfactant administration and high frequency oscillatory ventilation due to respiratory distress syndrome. VACTERL association was suspected after diagnosis of several congenital anomalies (butterfly vertebra, double left ureteral system, double outlet right ventricle and limbs anomalies). A nasogastric tube was passed and tip position was confirmed in the s...

Esophageal atresia is often associated with other anomalies. Hereditary and environmental factors may influence the incidence of associated anomalies, particularly of the urogenital system. We had 63 neonates with esophageal atresia admitted to 2 centers in Hamadan, Iran, from 2002 to 2008. They were 38 girls (60.3%) and 25 boy (39.7%). Tracheoesophageal fistula was present in 54 neonates (85.7...

A 67-year-old man with infected pancreatic necrosis underwent serial endoscopic necrosectomies through a spontaneously formed massive duodenal fistula (●" Fig.1). He also required percutaneous drainage of a communicating paracolic gutter collection. Despite resolution of necrosis, the fistula remained open with high-volume output through the percutaneous drain. The patient’s severe coronary dis...

A 73-year-old man presented with melena. After a thorough workup including esophageal endoscopy, computed tomography scans, and esophagography, the diagnosis of secondary aortoesophageal fistula was made. Two years previously, he had undergone endovascular stent-graft repair for the dissection of his descending thoracic aorta. Because of the generally poor condition of the patient and the high ...