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Subclavian arterio-esophageal fistula secondary to fish bone impaction: report of a case.

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.
AuthorsC K Leow
JournalSurgery today (Surg Today) Vol. 28 Issue 4 Pg. 409-11 ( 1998) ISSN: 0941-1291 [Print] Japan
PMID9590707 (Publication Type: Case Reports, Journal Article)
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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