Primary Aortoesophageal Fistula Presenting as Upper Gastrointestinal Bleed

Aortoenteric fistula is a rare condition that can be primary or secondary. The primary type is less common than the secondary. The secondary aortoenteric fistula is an uncommon fatal complication after reconstructive surgery for an aortic aneurysm or other aortic diseases. Here we present a case of...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-10, Vol.14 (10)
Main Authors: Naik, Naveen, Shaikh, Oseen, Kunjumohammed, Muhsina, Balasubramanian, Gopal
Format: Article
Language:English
Subjects:
Abdomen
Aortic aneurysms
Blood clots
Cardiac arrhythmia
Case reports
Coronary vessels
Disease
Emergency Medicine
Endoscopy
Esophagus
Fistula
Gastroenterology
General Surgery
Hematemesis
Medical imaging
Pain
Patients
Sepsis
Small intestine
Surgery
Tomography
Ulcers
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Summary:Aortoenteric fistula is a rare condition that can be primary or secondary. The primary type is less common than the secondary. The secondary aortoenteric fistula is an uncommon fatal complication after reconstructive surgery for an aortic aneurysm or other aortic diseases. Here we present a case of a 59-year-old man who presented to our emergency department with sudden onset of massive hematemesis. Imaging studies were done and the patient was diagnosed to have aortoesophageal fistula. Upper gastrointestinal endoscopy showed an intraluminal bulge in the posterior wall of the esophagus with an ulcer and hematoma. The patient was planned for emergency surgical intervention, but the patient had recurrent bouts of hematemesis and, unfortunately, expired. Hence patients presenting with massive hematemesis, aortoenteric fistula can be the underlying cause, and all surgeons should be aware of such conditions and the need for emergent surgical intervention.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.30018