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Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus

Aortoesophageal fistula (AEF) is a rare, but life-threatening cause of intramural hematoma of the esophagus (IHE). Typical clinical presentation of AEF includes midthoracic pain and sentinel hemorrhage followed by massive, often fatal, hematemesis, with the period between sentinel hemorrhage and mas...

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Autores principales: Stooksberry, Timothy, McHam, Bruce, Lisle, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265070/
https://www.ncbi.nlm.nih.gov/pubmed/32509048
http://dx.doi.org/10.1016/j.radcr.2020.05.040
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author Stooksberry, Timothy
McHam, Bruce
Lisle, Mark
author_facet Stooksberry, Timothy
McHam, Bruce
Lisle, Mark
author_sort Stooksberry, Timothy
collection PubMed
description Aortoesophageal fistula (AEF) is a rare, but life-threatening cause of intramural hematoma of the esophagus (IHE). Typical clinical presentation of AEF includes midthoracic pain and sentinel hemorrhage followed by massive, often fatal, hematemesis, with the period between sentinel hemorrhage and massive hematemesis generally varying from hours to days. This is a case of a 61-year-old male who presented with chest pain after development of an aortoesophageal fistula and associated intramural hematoma of the esophagus. The fistula and associated hematoma were initially mischaracterized on imaging, and went undiagnosed for approximately 2 weeks before being iatrogenically disrupted during endoscopy. Though this case was successfully treated, aortoesophageal fistulas are associated with a high mortality, and aortoesophageal fistula/intramural hematoma of the esophagus should always be considered in the differential of an esophageal mass.
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spelling pubmed-72650702020-06-05 Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus Stooksberry, Timothy McHam, Bruce Lisle, Mark Radiol Case Rep Chest Aortoesophageal fistula (AEF) is a rare, but life-threatening cause of intramural hematoma of the esophagus (IHE). Typical clinical presentation of AEF includes midthoracic pain and sentinel hemorrhage followed by massive, often fatal, hematemesis, with the period between sentinel hemorrhage and massive hematemesis generally varying from hours to days. This is a case of a 61-year-old male who presented with chest pain after development of an aortoesophageal fistula and associated intramural hematoma of the esophagus. The fistula and associated hematoma were initially mischaracterized on imaging, and went undiagnosed for approximately 2 weeks before being iatrogenically disrupted during endoscopy. Though this case was successfully treated, aortoesophageal fistulas are associated with a high mortality, and aortoesophageal fistula/intramural hematoma of the esophagus should always be considered in the differential of an esophageal mass. Elsevier 2020-06-01 /pmc/articles/PMC7265070/ /pubmed/32509048 http://dx.doi.org/10.1016/j.radcr.2020.05.040 Text en © 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Chest
Stooksberry, Timothy
McHam, Bruce
Lisle, Mark
Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title_full Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title_fullStr Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title_full_unstemmed Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title_short Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
title_sort undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus
topic Chest
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265070/
https://www.ncbi.nlm.nih.gov/pubmed/32509048
http://dx.doi.org/10.1016/j.radcr.2020.05.040
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