Thyroid artery erosion by esophageal cancer: management with interventional radiology.
Management of upper gastrointestinal bleeding because of erosion of vessels by esophageal cancer may be challenging. We present herein the angiographic images of a 49-year-old patient who was admitted with massive bleeding from a tumor-eroded inferior thyroid artery. Attempts to control the bleeding by means of flexible endoscopy and insertion of a Sengstaken-Blakemore tube had failed. The diagnosis was impressively demonstrated by multislice computed tomography with intravenous contrast in the arterial phase and multiplanar reconstructions (computed tomography angiography) and by digital subtraction angiography. The bleeding was successfully treated with superselective catheterization and coiling of the eroded vessel.
von Rahden
Burkhard H A
BH
Department of Surgery, Paracelsus Medical University, Muellnerhauptstr 48, A-5020 Salzburg, Austria. b.von.rahden@salk.at
Stigler
Brigitte
B
Weiss
Wolfgang
W
Stein
Hubert J
HJ
D001158:Arteries; D002294:Carcinoma, Squamous Cell / Q000150:complications*; D004938:Esophageal Neoplasms / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D015641:Radiography, Interventional; D013961:Thyroid Gland / Q000098:blood supply*; D014652:Vascular Diseases / Q000209:etiology*