Aorto-oesophageal fistula after corrosive ingestion:A case report

作     者：Matthias Frank Scriba Urda Kotze Nadraj Naidoo Eduard Jonas Galya Eileen Chinnery 

作者机构：Surgical Gastroenterology UnitDepartment of SurgeryGroote Schuur HospitalUniversity of Cape TownCape Town 7925Western CapeSouth Africa Surgical Gastroenterology UnitDepartment of SurgeryUniversity of Cape TownFaculty of Health SciencesCape Town 7925Western CapeSouth Africa Vascular and Endovascular Surgery UnitDepartment of SurgeryGroote Schuur HospitalUniversity of Cape TownCape Town 7925Western CapeSouth Africa 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第5期

页      面：506-513页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Aorto-oesophageal fistula Corrosive/caustic injury Corrosive ingestion Case report 

摘      要：BACKGROUND Aorto-oesophageal fistula(AOF)are uncommon and exceedingly rare after corrosive *** authors report a case of AOF after corrosive ingestion that survived.A comprehensive literature review was performed to identify all cases of AOF after corrosive ingestion to determine the incidence of this condition,how it is best managed and what the outcomes *** SUMMARY A previously healthy 30-year-old male,presented with a corrosive oesophageal injury after drain cleaner *** did not require acute surgical resection,but developed long-segment oesophageal stricturing,which was initially managed with cautious dilatation and later *** AOF was suspected at endoscopy performed two months after the ingestion,when the patient represented with massive upper gastrointestinal *** fistula was confirmed on computerised tomographic *** initial bleeding at endoscopy was temporised by oesophageal stenting;a second stent was placed when bleeding recurred later the same *** stenting successfully achieved temporary bleeding control,but resulted in sudden respiratory distress,which was found to be due to left main bronchus compression caused by the overlapping oesophageal *** bleeding control was achieved by endovascular aortic stent-grafting.A retrosternal gastroplasty was subsequently performed to achieve gastrointestinal diversion to reduce the risk of stent-graft *** was subsequently successfully discharged and remains well one year post *** AOF after corrosive ingestion is exceedingly rare,with a very high *** occur weeks to months after the initial corrosive *** management is ill-advised.