Aortoesophageal fistula in a child

Aortoesophageal fistulae (AEF) are rare and are associated with very high mortality. Foreign body ingestions remain the commonest cause of AEF seen in children. However in a clinical setting of tuberculosis and massive upper GI bleed, an AEF secondary to tuberculosis should be kept in mind. An early...

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Bibliographic Details
Published in:Journal of Indian Association of Pediatric Surgeons 2013-07, Vol.18 (3), p.124-126
Main Authors: Panda, Shasanka, Agarwala, Sandeep, Kabra, Sushil, Ray, Ruma, Sugandhi, Nidhi, Bhat, Abdus, Lodha, Rakesh, Joshi, Prashant, Bisoi, Akshay, Arora, Arundeep, Gupta, Arun
Format: Article
Language:English
Subjects:
Aorto-esophageal fistula
Case Report
children
tuberculosis
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Summary:Aortoesophageal fistulae (AEF) are rare and are associated with very high mortality. Foreign body ingestions remain the commonest cause of AEF seen in children. However in a clinical setting of tuberculosis and massive upper GI bleed, an AEF secondary to tuberculosis should be kept in mind. An early strong clinical suspicion with good quality imaging and endoscopic evaluation and timely aggressive surgical intervention helps offer the best possible management for this life threatening disorder. Our case is a 10-year-old boy who presented to the pediatric emergency with massive bouts of haemetemesis and was investigated and managed by multidisciplinary team effort in the emergency setting.
ISSN:0971-9261
1998-3891
DOI:10.4103/0971-9261.116051