ABSTRACT
We present the case of a 92-year-old woman with no relevant history, who consulted for sore throat, progressive dysphagia to solids and fever. A cervical-thoraco-abdominal CT was performed with the finding of a paraesophageal collection at the level of C3-T1 without a clear solution of continuity, although with passage of oral contrast to the collection, exerting a mass effect on the esophageal lumen, suggestive of contained esophageal perforation, of cause not clarified. A gastroscopy was performed, in which three esophageal fistulous orifices were observed, two 4-5 mm, and a third 10 mm deeper, located 22cm from the dental arch, septate, with perilesional purulent material and bubbling.
ABSTRACT
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Subject(s)
Humans , Male , Aged , Intestinal Fistula/complications , Intestinal Fistula/diagnostic imaging , Wernicke Encephalopathy/diagnostic imaging , Wernicke Encephalopathy/etiology , Bariatric Surgery/adverse effects , Tomography, X-Ray Computed , ColonoscopyABSTRACT
Wernicke´s encephalopathy (WE) is an acute neurologic disorder secondary to thiamine deficiency. We report the case of a patient with history of bariatric surgery who develops a late-onset enterocolic fistula, with alcohol consumption associated.