Abstract |
A 48-year-old Indian man swallowed a fish bone and presented 1 week later with dysphagia, following a single episode of fresh hematemesis. A barium swallow demonstrated a horizontal mucosal tear at the level of the aortic arch, and computed tomography (CT) showed mediastinal emphysema and a bleeding point medial to the left subclavian artery which appeared to be contained by a surrounding hematoma. Subsequently, he developed sudden massive hematemesis and collapsed. Despite emergency surgery, the patient died. At the postmortem examination, a 1.2-cm fistula tract was found connecting the esophagus to the left subclavian artery. This case report emphasizes that a diagnosis of arterio- esophageal fistula should be considered if a patient presents with fresh hematemesis and a recent history of foreign body ingestion.
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Authors | C K Leow |
Journal | Surgery today
(Surg Today)
Vol. 28
Issue 4
Pg. 409-11
( 1998)
ISSN: 0941-1291 [Print] Japan |
PMID | 9590707
(Publication Type: Case Reports, Journal Article)
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Topics |
- Esophageal Fistula
(etiology, pathology)
- Fistula
(etiology, pathology)
- Foreign Bodies
(complications)
- Hematemesis
(etiology)
- Hematoma
- Humans
- Male
- Middle Aged
- Subclavian Artery
- Vascular Diseases
(etiology, pathology)
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