Upper gastrointestinal bleeding from primary aortoesophageal fistula in a patient with aneurism of the thoracoabdominal aorta: Case report and literature review
We present an atypical case of an aneurysm of the thoracoabdominal aorta complicated with primary aortoesophageal fistula (AEF). A 55-year-old male with no previous diseases, presented with prolonged and intense back pain and upper gastrointestinal bleeding. The gastroscopy detected an unusual culprit lesion in the distal esophagus resembling an esophageal wall defect, and the computed tomography revealed an aneurysm of the thoracoabdominal aorta, remarkable surrounding hematoma, and active contrast extravasation. Despite the urgent surgical repair, a lethal outcome occurred. AEF patients require high clinical awareness and complementary multidisciplinary approach in order to provide a rapid diagnosis and optimal treatment.
Authors
- Ivan Ranković (ORCID: https://orcid.org/0000-0002-5767-3914)
- Aleksandar Kolev (ORCID: https://orcid.org/0000-0003-2516-4872)
- Elena Curakova Ristovska (ORCID: https://orcid.org/0000-0001-8855-3045)
- Ante Bogut (ORCID: https://orcid.org/0000-0003-1267-7011)
- Mishel Andov (ORCID: https://orcid.org/0000-0002-5263-764X)
- Svetozar Antović (ORCID: https://orcid.org/0000-0003-3068-4987)
- Smiljana Bundovska Kocev
- Gregor Krstevski (ORCID: https://orcid.org/0000-0002-6240-0750)
- Kemal Rusiti
- Natasa Hadzi‐Nikolova Alcinova
- Kristijan Bundovski (ORCID: https://orcid.org/0009-0004-4606-8315)
Institutions
- University of Mostar (BA)
- University Clinical Hospital Mostar (BA)
- Royal Cornwall Hospital (GB)
- PHI University Psychiatric Clinic - Skopje (MK)
- Ss. Cyril and Methodius University in Skopje (MK)
- Peninsula College of Medicine and Dentistry (GB)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2024-08-01
- DOI
- https://doi.org/10.1002/ccr3.9311
- Primary Topic
- Infectious Aortic and Vascular Conditions
- Type
- article
- Field-Weighted Citation Impact
- 0.00