Two-stage Surgery for an Aortoesophageal Fistula Caused by Tuberculous Esophagitis
Journal of Korean Medical Science
;
: 1706-1709, 2015.
Article
in English
| WPRIM
| ID: wpr-198115
ABSTRACT
An aortoesophageal fistula (AEF) is an extremely rare, potentially fatal condition, and aortic surgery is usually performed together with extracorporeal circulation. However, this surgical method has a high rate of surgical complications and mortality. This report describes an AEF caused by tuberculous esophagitis that was treated successfully using a two-stage operation. A 52-yr-old man was admitted to the hospital with severe hematemesis and syncope. Based on the computed tomography and diagnostic endoscopic findings, he was diagnosed with an AEF and initially underwent thoracic endovascular aortic repair. Esophageal reconstruction was performed after controlling the mediastinal inflammation. The patient suffered postoperative anastomotic leakage, which was treated by an endoscopic procedure, and the patient was discharged without any further problems. The patient received 9 months of anti-tuberculosis treatment after he was diagnosed with histologically confirmed tuberculous esophagitis; subsequently, he was followed as an outpatient and has had no recurrence of the tuberculosis or any further issues.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aortic Diseases
/
Tuberculosis
/
Vascular Surgical Procedures
/
Esophageal Fistula
/
Esophagoscopy
/
Treatment Outcome
/
Eosinophilic Esophagitis
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2015
Type:
Article
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