Aortoesophageal fistula secondary to reflux esophagitis.
Aortoenteric fistula is a rare cause of massive upper gastrointestinal bleeding and is in the overwhelming majority of cases due to erosion of a suture line of a prosthetic vascular graft into the bowel. We report the case of a massive fatal gastrointestinal hemorrhage from an aortoenteric fistula secondary to erosion from reflux esophagitis. Proper management requires expedient radiographic and endoscopic evaluation, and even with appropriate management mortality remains extremely high.
Podbielski
Francis J
FJ
Department of Surgery, Resurrection - St. Joseph Hospital, Chicago, IL, USA. Francis.Podbielski@sphs.com
Rodriguez
Heron E
HE
Zhu
Richard Y
RY
Worley
Todd A
TA
Fontaine
Jacques Pierre
JP
Connolly
Mark M
MM
D001018:Aortic Diseases / Q000209:etiology*; D004937:Esophageal Fistula / Q000209:etiology*; D004941:Esophagitis / Q000150:complications*; D017809:Fatal Outcome; D005402:Fistula / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged