title: Aorto-oesophageal fistula and aortic pseudoaneurysm caused by a swallowed fish bone.
abstract: We describe a rare case of aorto-oesophageal fistula and aortic pseudoaneurysm in a middle-aged man, who presented with chest pain and haematemesis 1 week after swallowing a fish bone. Oesophagogastroduodenoscopy and computed tomographic angiography findings were consistent with oesophageal perforation, proximal descending aortic pseudoaneurysm, and aorto-oesophageal fistula. Thoracic endovascular aortic repair was performed. The patient died from severe mediastinal sepsis. Early surgical intervention and broad-spectrum antibiotic therapy are crucial in preventing life-threatening mediastinal infection.
authors: Otorhinolaryngology Department, Faculty of Medicine, University of Malaya, Malaysia.
authors: K J
authors: KJ
authors: Sia
authors: G D
authors: GD
authors: Ashok
authors: F M A
authors: FM
authors: Ahmad
authors: Catherine K L
authors: CK
authors: Kong
mesh_terms: D017541:Aneurysm, False / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000792:Angiography; D000818:Animals; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001842:Bone and Bones; D002637:Chest Pain / Q000209:etiology; D016145:Endoscopy, Digestive System / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D004937:Esophageal Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D004939:Esophageal Perforation / Q000209:etiology / Q000473:pathology; D017809:Fatal Outcome; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000209:etiology; D014057:Tomography, X-Ray Computed
keywords: Aneurysm, false; Esophageal fistula; Esophagus; Vascular fistula