Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus.
Aortoesophageal fistula
Cardiovascular
Intramural hematoma of the esophagus
Upper GI
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
10
03
2020
revised:
18
05
2020
accepted:
18
05
2020
entrez:
9
6
2020
pubmed:
9
6
2020
medline:
9
6
2020
Statut:
epublish
Résumé
Aortoesophageal fistula (AEF) is a rare, but life-threatening cause of intramural hematoma of the esophagus (IHE). Typical clinical presentation of AEF includes midthoracic pain and sentinel hemorrhage followed by massive, often fatal, hematemesis, with the period between sentinel hemorrhage and massive hematemesis generally varying from hours to days. This is a case of a 61-year-old male who presented with chest pain after development of an aortoesophageal fistula and associated intramural hematoma of the esophagus. The fistula and associated hematoma were initially mischaracterized on imaging, and went undiagnosed for approximately 2 weeks before being iatrogenically disrupted during endoscopy. Though this case was successfully treated, aortoesophageal fistulas are associated with a high mortality, and aortoesophageal fistula/intramural hematoma of the esophagus should always be considered in the differential of an esophageal mass.
Identifiants
pubmed: 32509048
doi: 10.1016/j.radcr.2020.05.040
pii: S1930-0433(20)30210-7
pmc: PMC7265070
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1128-1132Informations de copyright
© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
Références
World J Gastroenterol. 2009 Nov 7;15(41):5232-5
pubmed: 19891027
Tex Heart Inst J. 2002;29(4):340-1
pubmed: 12484624
J Vasc Surg. 1992 Jul;16(1):90-5
pubmed: 1619730
Unfallchirurg. 1985 Jul;88(7):322-6
pubmed: 4048960
Emerg Radiol. 2008 Jan;15(1):13-22
pubmed: 17952475
Case Rep Gastroenterol. 2012 Jul 26;6(2):510-7
pubmed: 23730267
Am J Med. 1991 Sep;91(3):279-87
pubmed: 1892150
Arq Bras Cardiol. 2008 Dec;91(6):e61-3
pubmed: 19142354
Ann Thorac Surg. 2004 Jul;78(1):343-5
pubmed: 15223466
Ann Thorac Cardiovasc Surg. 2004 Aug;10(4):241-6
pubmed: 15458376
Perfusion. 2013 Jul;28(4):286-90
pubmed: 23401340
Indian J Crit Care Med. 2015 Feb;19(2):119-21
pubmed: 25722556