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Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report

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Resumo:Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.
Autores principais:Sousa,Gonçalo Queiroz de
Outros Autores:Fernandes,Ruy Fernandes e; Pedro,Luís Mendes; Garrido,Pedro; Silvestre,Luís; Costa,Paulo; Fernandes,José Fernandes e
Assunto:Aortoesophageal fistula Aorta Endovascular stentgraft Esophageal stent Upper gastrointestinal bleeding
Ano:2016
País:Portugal
Tipo de documento:relatório
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
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author Sousa,Gonçalo Queiroz de
author2 Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
author2_role author
author
author
author
author
author
author_facet Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Sousa,Gonçalo Queiroz de\"},{\"Person.name\":\"Fernandes,Ruy Fernandes e\"},{\"Person.name\":\"Pedro,Luís Mendes\"},{\"Person.name\":\"Garrido,Pedro\"},{\"Person.name\":\"Silvestre,Luís\"},{\"Person.name\":\"Costa,Paulo\"},{\"Person.name\":\"Fernandes,José Fernandes e\"}]
datacite.creators.creator.creatorName.fl_str_mv Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
datacite.titles.title.fl_str_mv Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
dc.creator.none.fl_str_mv Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Angiologia e Cirurgia Vascular v.12 n.3 2016
dc.subject.none.fl_str_mv Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
dc.title.fl_str_mv Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_93fc
description Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.
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instacron_str SciELO
institution Fundação para a Ciência e Tecnologia
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language eng
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organization_str_mv urn:organizationAcronym:scielo
person_str_mv Sousa,Gonçalo Queiroz de
Fernandes,Ruy Fernandes e
Pedro,Luís Mendes
Garrido,Pedro
Silvestre,Luís
Costa,Paulo
Fernandes,José Fernandes e
publishDate 2016
publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
reponame_str SciELO Portugal
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spelling Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case reportSousa,Gonçalo Queiroz deFernandes,Ruy Fernandes ePedro,Luís MendesGarrido,PedroSilvestre,LuísCosta,PauloFernandes,José Fernandes eAortoesophageal fistulaAortaEndovascular stentgraftEsophageal stentUpper gastrointestinal bleedingopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010URLHasVersion2016-09-01Primary aortoesophgeal fistulas (AEF) are a rare but life-threatening condition because of substantial hemorrhage, requiring fast treatment to ensure patient survival. We report a case of a 69-year-old male with diagnosis of squamous cell carcinoma of the esophagus who suffered an episode of hematemesis and hemorrhagic shock. Gastrointestinal (GI) endoscopy revealed an ulcerated lesion with pulsatile hemorrhage. CT-scan confirmed the diagnosis of AEF. A stent-graft was placed in the descending aorta to control bleeding, and 2 days later an esophageal stent was deployed to reduce risk of aortic graft infection. The patient was discharged 13 days after admission and had no other episode of GI bleeding in a 6-month follow-up period. TEVAR may be used as a palliative or bridge treatment of AEF.Sociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular v.12 n.3 2016text/htmlengreporthttp://purl.org/coar/resource_type/c_93fcother research product
spellingShingle Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
Sousa,Gonçalo Queiroz de
Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
status SINGLETON
subject.fl_str_mv Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
title Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_full Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_fullStr Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_full_unstemmed Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_short Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
title_sort Aortoesophageal fistula in a patient with carcinoma of the esophagus: Case report
topic Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
topic_facet Aortoesophageal fistula
Aorta
Endovascular stentgraft
Esophageal stent
Upper gastrointestinal bleeding
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2016000300010
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