title: Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection.
abstract: A 65-year-old man infected with human immunodeficiency virus underwent emergency surgery for rupture of a mycotic descending thoracic aneurysm. The aneurysm was replaced with a prosthetic graft wrapped with omentum. Esophageal perforation occurred 3 weeks after surgery. The patient's condition remained stable, and we adopted a conservative treatment. The esophageal fistula had not healed completely and a biopsy of the scar revealed gastric cancer. We performed a distal gastrectomy, Roux-Y reconstruction, and enterostomy for enteral feeding. Follow-up endoscopy revealed healing of the fistula, and the patient was eventually discharged. We managed this potentially fatal complication with minimally invasive treatment.
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Tatsuichiro
authors.initials: T
authors.lastname: Seto
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Tamaki
authors.initials: T
authors.lastname: Takano
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Komatsu
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Ohtsu
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Terasaki
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Wada
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Fukui
authors.affiliation: Department of Surgery, Matsumoto Medical Center, Matsumoto, Nagano, Japan.
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Koike
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Amano
keywords: aneurysm rupture; esophageal perforation; human immunodeficiency virus