RESUMO
Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The typical symptoms known as the Chiari´s triad are only present in 45% of reported cases. We present the case of a patient with upper gastrointestinal bleeding due to an aortoesophageal fistula as well as the importance of endoscopic use for its differential diagnosis.
Assuntos
Doenças da Aorta , Fístula Esofágica , Perfuração Esofágica , Fístula Vascular , Humanos , Perfuração Esofágica/diagnóstico por imagem , Perfuração Esofágica/etiologia , Fístula Vascular/complicações , Fístula Vascular/diagnóstico por imagem , Fístula Esofágica/etiologia , Fístula Esofágica/complicações , Hemorragia Gastrointestinal/complicações , Doenças da Aorta/etiologia , Doenças da Aorta/complicaçõesRESUMO
INTRODUCTION: radical surgery in hepatic hydatidosis is associated with less morbidity and recurrence than conservative surgery. MATERIAL AND METHODS: a retrospective observational study of patients with liver hydatid cyst surgery was performed. Seventy-one patients with 90 cysts were included between 2007 and 2017, and radical surgery was performed in 69.01 %. RESULTS: there was no difference in morbidity, mortality, biliary leakage or recurrence according to surgery. Complicated cysts were associated with a longer hospital stay and morbidity. CONCLUSION: decision-making should consider age, comorbidity, cyst characteristics and available resources. Radical surgery should be applied whenever feasible as it achieves better results with an adequate selection of patients.