Gastroaortic fistula as an early complication of esophagectomy.
Gastroaortic fistula following esophagogastrectomy is an uncommon and invariably fatal complication without urgent surgical intervention. We report 1 such case and review the world literature identifying 22 previous cases. It characteristically presents 2 to 3 weeks after esophagogastrectomy with an initial herald bleed, followed by a latent period with a mean duration of 10 hours (range: 30 minutes to 3 days) and final exsanguination. Only 1 patient in this series survived. Awareness is necessary to allow prompt diagnosis and treatment of this almost invariably lethal but curable condition.
Molina-Navarro
C
C
Department of General Surgery, Poole General Hospital, United Kingdom. molinacarlos@worldonline.es
Hosking
S W
SW
Hayward
S J
SJ
Flowerdew
A D
AD
D000328:Adult; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology*; D016629:Esophagectomy / Q000009:adverse effects*; D005260:Female; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D013997:Time Factors; D016157:Vascular Fistula / Q000209:etiology*