Case Report
Volume: 4 | Issue: 11 | Published: Nov 12, 2020 | Pages: 368 - 370 | DOI: 10.24911/ejmcr/173-1554646994
Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report
Authors: Florian Burtin , Daniela Fischer , Seyrani Yucel , Ernst Klar , Guido Alsfasser
Article Info
Authors
Florian Burtin
Department of General, Visceral, Vascular and Transplant Surgery, Rostock University Medical Center, Rostock, Germany
Daniela Fischer
Department of General, Visceral, Vascular and Transplant Surgery, Rostock University Medical Center, Rostock, Germany
Seyrani Yucel
Division of Cardiology, Department of Internal Medicine, Rostock University Medical Center, Rostock, Germany
Ernst Klar
Department of General, Visceral, Vascular and Transplant Surgery, Rostock University Medical Center, Rostock, Germany
Guido Alsfasser
Department of General, Visceral, Vascular and Transplant Surgery, Rostock University Medical Center, Rostock, Germany
Publication History
Received: April 08, 2019
Revised: August 15, 2020
Accepted: September 14, 2020
Published: November 12, 2020
Abstract
Background: The incidence of acute upper gastrointestinal bleeding (UGIB) has declined over the recent decades, and nowadays, due to improved endoscopic treatment options, only 2.6% of the patients with UGIB need additional surgical or angiographic intervention. In this report, we present the case of UGIB, refractory to endoscopic treatment, caused by a primary aortoesophageal fistula. Case Presentation: A 72-year-old man with acute UGIB was referred to our clinic after unsuccessful endoscopic and surgical treatment in an external hospital. On admission, the patient showed prolonged hemorrhagic shock and abdominal compartment syndrome. An immediately conducted thoracoabdominal CT scan revealed a penetrating aortic ulcer of the descending aorta and the patient was transferred to the OR to undergo laparotomy. After confirmation of a primary aortoesophageal fistula as the origin of hemorrhage, an aortic stent graft was successfully placed to occlude the lesion. Despite severe blood loss and prolonged hemorrhagic shock, the patient recovered quickly and could be discharged on the 18th postoperative day. Conclusion: Primary aortoenteric fistula is an uncommon clinical condition with a high mortality requiring an interdisciplinary treatment approach.
Keywords: Case report, upper gastrointestinal bleeding, penetrating aortic ulcer, primary aortoenteric fistula, green
Pubmed Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. EJMCR. 2020; 12 (November 2020): 368-370. doi:10.24911/ejmcr/173-1554646994
Web Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. https://ejmcr.com/articles/1370 [Access: December 26, 2024]. doi:10.24911/ejmcr/173-1554646994
AMA (American Medical Association) Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. EJMCR. 2020; 12 (November 2020): 368-370. doi:10.24911/ejmcr/173-1554646994
Vancouver/ICMJE Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. EJMCR. (2020), [cited December 26, 2024]; 12 (November 2020): 368-370. doi:10.24911/ejmcr/173-1554646994
Harvard Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser (2020) Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. EJMCR, 12 (November 2020): 368-370. doi:10.24911/ejmcr/173-1554646994
Chicago Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. "Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report." 12 (2020), 368-370. doi:10.24911/ejmcr/173-1554646994
MLA (The Modern Language Association) Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser. "Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report." 12.November 2020 (2020), 368-370. Print. doi:10.24911/ejmcr/173-1554646994
APA (American Psychological Association) Style
Florian Burtin, Daniela Fischer, Seyrani Yucel, Ernst Klar, Guido Alsfasser (2020) Rare cause of upper gastrointestinal bleeding due to primary aortoesophageal fistula - a case report. , 12 (November 2020), 368-370. doi:10.24911/ejmcr/173-1554646994