Aortogastric Fistula Caused by a Foreign Body in a Hiatal Hernia.
Foreign body ingestion is more common in children than in adults, and sharp foreign body ingestion is extremely rare. We report a 93-year-old woman who was unaware of foreign body ingestion and who presented with sudden hematemesis and circulatory collapse. Computed tomography showed a hiatus hernia and part of the stomach herniating in the posterior mediastinum. Additionally, a needle-shaped object was seen penetrating the aorta through the herniated gastric wall. Therefore, immediate endovascular repair of the aorta was performed. Subsequent endoscopy identified a bamboo stick. Therefore, emergent laparotomy and gastrotomy were performed to retrieve the stick, followed by repair of the hernia. The postoperative recovery was uneventful. Such cases are associated with high morbidity, mandating long-term follow-up.
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Futoshi
F
Kabayashi
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Munehiro
M
Saiki
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan. Electronic address: yoshisao@med.tottori-u.ac.jp.
Yoshinobu
Y
Nakamura
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Takeshi
T
Onohara
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Yuichiro
Y
Kishimoto
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Shingo
S
Harada
Division of Cardiovascular Surgery, Department of Surgery, Tottori University Faculty of Medicine, Tottori, Japan.
Motonobu
M
Nishimura
D000368:Aged; D000369:Aged, 80 and over; D019072:Antibiotic Prophylaxis; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003297:Cooking and Eating Utensils; D004435:Eating; D004630:Emergencies; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D005747:Gastric Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006551:Hernia, Hiatal / Q000150:complications*; D059685:Herniorrhaphy; D006801:Humans; D007813:Laparotomy; D031787:Sasa; D013270:Stomach / Q000293:injuries / Q000601:surgery; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery