Dual-modality emergency management of a rare cause of an aorto-oesophageal fistula: a case report

Author:

Vasanthan Rishi1ORCID,Tabbakh Yasmin23,Doran Sophie2,Baker Daryll45,Hague Julian67,Qureshi Yassar2,Dawas Khaled2,Mohammadi Borzoueh2

Affiliation:

1. Department of Head and Neck Surgery, University College London Hospitals NHS Foundation Trust, London, UK

2. Department of Upper Gastro-Intestinal Surgery, University College London Hospitals NHS Foundation Trust, London, UK

3. Department of Metabolism, Digestion & Reproduction, Hammersmith Hospital Clinical Research Facility, Imperial College London, London, UK

4. Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK

5. Department of Vascular Surgery, University College London Hospitals NHS Foundation Trust, London, UK

6. Department of Radiology, University College London Hospitals NHS Foundation Trust, London, UK

7. Department of Radiology, Royal Free London NHS Foundation Trust, London, UK

Abstract

Abstract Aorto-oesophageal fistula (AOF) is a life-threatening condition that usually presents with upper gastro-intestinal haemorrhage. This case report details the emergency presentation and management of a 51-year-old male who presented with hematemesis secondary to an impacted denture (ingested two years previously) in the oesophagus that had led to an AOF. This necessitated urgent thoracic endovascular aortic repair followed by thoracotomy, oesophagotomy, T-tube insertion and oesophagostomy. This is the first documentation in the literature of the dual-modality management for this rare cause of AOF and demonstrates the multidisciplinary approach to successful management of this complex yet rare presentation.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

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2. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms;Dake;N Engl J Med,1994

3. Vocal cord paralysis and oesophago-broncho-aortic fistula complicating foreign body-induced oesophageal perforation;Taha;Postgrad Med J,1992

4. A fatal denture in the oesophagus;Singh;J Laryngol Otol,1978

5. Perforation of the aorta induced by a swallowed denture in the esophagus: a case report and the review of the literatures;Fujita;J Japanese Assoc Thorac Surg,1977

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