Medical and surgical management of aorto-esophageal fistula after denture erosion due to esophageal stent placement

This case reports on the management of a patient who initially presented to an outside hospital with an esophageal perforation secondary to swallowed dentures. The patient was subsequently treated with an esophageal stent that eroded the dentures into his thoracic aorta, creating an aorto-esophageal fistula. The patient underwent successful management of an aorto-esophageal fistula utilizing antibiotic and antifungal medications and endovascular therapy as the definitive surgical treatment of the aorta, followed by esophagectomy with foreign body removal and staged esophageal reconstruction. Long-term survival was optimized due to early diagnosis and treatment through a multidisciplinary approach.