Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body

Omar Toumi; Sadok Ben Jabra; Ammar Mahmoudi; Hanene Zenati; Mohamed Ben Khlifa; Wassim Kallel; Khadija Zouari; Noomen Faouzi; Abdelaziz Hamdi

doi:doi:10.11648/j.js.20150301.11

Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body

Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, Wassim Kallel, Khadija Zouari, Noomen Faouzi, Abdelaziz Hamdi

Published in Journal of Surgery (Volume 3, Issue 1)

Received: 27 November 2014 Accepted: 29 December 2014 Published: 17 January 2015

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Abstract

Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.

Published in	Journal of Surgery (Volume 3, Issue 1)
DOI	10.11648/j.js.20150301.11
Page(s)	1-3
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Aortoesophageal Fistula, Foreign Body, Sengstaken-Blakemore Tube, Hematemesis

References

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[2]	Ming-Ho Wu, Wu-Wei Lai . Aortoesophageal Fistula Induced by Foreign Bodies. Ann Thovac Surg 1992;54:155-6.
[3]	Cheng LC1, Chiu CS. Foreign body-induced aorto-oesophageal fistula: a review of five cases and their management. Hong Kong Med J. 2006 Jun;12(3):219-21.
[4]	Stephen L Kelly, Paul Peters, Murray J Ogg, Alan Li, Bernard M Smithers. Successful management of an aortoesophageal fistula caused by a fish bone – case report and review of literature J Cardiothorac Surg. 2009; 4: 21.
[5]	Maher MM, Murphy J, Dervan P, et al. Aorto-oesophageal fistula presenting as a submucosal oesophageal haematoma. Br J Radiol. 1998;71:972–974
[6]	Heckstall, Robert L. et al. Aortoesophageal Fistula: Recognition and Diagnosis in the Emergency Department. Annals of Emergency Medicine , Volume 32 , Issue 4 , 502 - 505
[7]	Chiari H. U¨ ber Fremdko¨ rperverletzung des Oesophagus mit Aorten perforation. Berlin Klin Wschr. 1914;51:7–9.
[8]	Kieffer E, Chiche L, Gomes D. Aortoesophageal fistula: value of in situ aortic allograft replacement. Ann Surg. 2003 Aug;238(2):283-90.
[9]	Sloop RD, Thompson JC: Aorto-esophageal fistula: Report of a case and review of the literature. Gastroenterology 1967;53:768-777.
[10]	Hollander JE, Quick G: Aortoesophageal Fistula: A comprehensive review of the literature. Am J Med 1991, 91:279-287
[11]	Hollander JE, Quick G: A comprehensive review of the literature. Am J Med 1991; 91:279-286.
[12]	Han SY, Jander HP, Ho KJ: Aortoesophageal fistula. South Med J 1981; 74:1260-1262.
[13]	Kirchgatterer A, Punzengruber C, et al: A rare case of gastrointestinal hemorrhage: Aortoesophageal fistula following repair of aortic dissection. Endoscopy 1997;29:137-138.
[14]	Myers HS, Silber W. Oesophageal bleeding from aortoesophageal fistula due to aortic aneurysm. S Afr Med J. 1983 Jan 22;63(4):124-7.
[15]	Magnussen I, Notander A, Rieger A, et al: Massive hematemesis due to an aortoesophageal fistula [case report]. Acta Chir Scand 1987;153:317-319.
[16]	Yamada T, Sato H, Seki M, et al: Successful salvage of aortoesophageal fistula caused by a fish bone. Ann Thorac Surg 1996;61:1843-1845.
[17]	Reedy FM: Embolization of aortoesophageal fistula: A new therapeutic approach [letter]. J Vasc Surg 1988;8:349-350.
[18]	Sosnowik D, Greenberg R, Bank S, et al: Aortoesophageal fistula: Early and late endoscopic features. Am J Gastroenterol 1988;83:1401-1404.
[19]	Kennedy FR, Cornwell ED, Camel J, et al: Aortoesophageal fistula due to gunshot wounds: Report of two cases with one survivor. J Trauma 1995;38:971-974.
[20]	Pipinos II, Reddy DJ: Secondary aortoesophageal fistula. J Vasc Surg 1997;26:144-149.
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[22]	Luketich JD, Sommers KE, Griffith BP, et al: Successful management of secondary aortoesophageal fistula. Ann Thorac Surg 1996;62:1852-1854.

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APA Style

Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, et al. (2015). Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. Journal of Surgery, 3(1), 1-3. https://doi.org/10.11648/j.js.20150301.11

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ACS Style

Omar Toumi; Sadok Ben Jabra; Ammar Mahmoudi; Hanene Zenati; Mohamed Ben Khlifa, et al. Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. J. Surg. 2015, 3(1), 1-3. doi: 10.11648/j.js.20150301.11

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AMA Style

Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, et al. Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. J Surg. 2015;3(1):1-3. doi: 10.11648/j.js.20150301.11

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@article{10.11648/j.js.20150301.11,
  author = {Omar Toumi and Sadok Ben Jabra and Ammar Mahmoudi and Hanene Zenati and Mohamed Ben Khlifa and Wassim Kallel and Khadija Zouari and Noomen Faouzi and Abdelaziz Hamdi},
  title = {Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body},
  journal = {Journal of Surgery},
  volume = {3},
  number = {1},
  pages = {1-3},
  doi = {10.11648/j.js.20150301.11},
  url = {https://doi.org/10.11648/j.js.20150301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150301.11},
  abstract = {Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.},
 year = {2015}
}

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TY  - JOUR
T1  - Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body
AU  - Omar Toumi
AU  - Sadok Ben Jabra
AU  - Ammar Mahmoudi
AU  - Hanene Zenati
AU  - Mohamed Ben Khlifa
AU  - Wassim Kallel
AU  - Khadija Zouari
AU  - Noomen Faouzi
AU  - Abdelaziz Hamdi
Y1  - 2015/01/17
PY  - 2015
N1  - https://doi.org/10.11648/j.js.20150301.11
DO  - 10.11648/j.js.20150301.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 1
EP  - 3
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20150301.11
AB  - Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.
VL  - 3
IS  - 1
ER  -

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Author Information

Omar Toumi

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Sadok Ben Jabra

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Ammar Mahmoudi

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Hanene Zenati

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Mohamed Ben Khlifa

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Wassim Kallel

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Khadija Zouari

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Noomen Faouzi

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
Abdelaziz Hamdi

Department of Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia

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Plain Text BibTeX RIS

APA Style

Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, et al. (2015). Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. Journal of Surgery, 3(1), 1-3. https://doi.org/10.11648/j.js.20150301.11

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ACS Style

Omar Toumi; Sadok Ben Jabra; Ammar Mahmoudi; Hanene Zenati; Mohamed Ben Khlifa, et al. Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. J. Surg. 2015, 3(1), 1-3. doi: 10.11648/j.js.20150301.11

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AMA Style

Omar Toumi, Sadok Ben Jabra, Ammar Mahmoudi, Hanene Zenati, Mohamed Ben Khlifa, et al. Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body. J Surg. 2015;3(1):1-3. doi: 10.11648/j.js.20150301.11

Copy | Download

@article{10.11648/j.js.20150301.11,
  author = {Omar Toumi and Sadok Ben Jabra and Ammar Mahmoudi and Hanene Zenati and Mohamed Ben Khlifa and Wassim Kallel and Khadija Zouari and Noomen Faouzi and Abdelaziz Hamdi},
  title = {Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body},
  journal = {Journal of Surgery},
  volume = {3},
  number = {1},
  pages = {1-3},
  doi = {10.11648/j.js.20150301.11},
  url = {https://doi.org/10.11648/j.js.20150301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150301.11},
  abstract = {Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Aorto-Esophageal Fistula: A Rare Fatal Case of Gastrointestinal Hemorrhage Caused by Foreign Body
AU  - Omar Toumi
AU  - Sadok Ben Jabra
AU  - Ammar Mahmoudi
AU  - Hanene Zenati
AU  - Mohamed Ben Khlifa
AU  - Wassim Kallel
AU  - Khadija Zouari
AU  - Noomen Faouzi
AU  - Abdelaziz Hamdi
Y1  - 2015/01/17
PY  - 2015
N1  - https://doi.org/10.11648/j.js.20150301.11
DO  - 10.11648/j.js.20150301.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 1
EP  - 3
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20150301.11
AB  - Aorto-oesophageal fistula (AOF) is a rare cause of upper gastro-intestinal hemorrhage. A fistulous tract develops between the aorta and the esophagus most commonly in association with thoracic aortic aneurysms, foreign bodies, esophageal malignancy, and the presence of an aortic prosthetic graft or following trauma [1]. High mortality still accompanies the cases [2]. We report a case of AEF caused by a fish bone. Computed tomography demonstrated a fistula from the proximal descending thoracic aorta to the mid esophagus.This patient died when rupture into the esophageal lumen caused exsanguinating hemorrhage.Their clinical causes and treatment are reviewed and discussed below.
VL  - 3
IS  - 1
ER  -

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