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01.12.2018 | Case report | Ausgabe 1/2018 Open Access

BMC Surgery 1/2018

Aortoesophageal fistula and arch pseudoaneurysm after removing of a swallowed chicken bone: a case report of one-stage hybrid treatment

Zeitschrift:
BMC Surgery > Ausgabe 1/2018
Autoren:
Jia-yu Shen, Hong-wei Zhang, Kang-jun Fan, Hu Liao, Er-yong Zhang, Jia Hu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12893-018-0335-1) contains supplementary material, which is available to authorized users.

Abstract

Background

Aortoesophageal fistula (AEF) and arch pseudoaneurysm are rare complications induced by a foreign body, and considerable controversy remains regarding the appropriate management strategies. We herein report a successful one-stage hybrid treatment in a patient with AEF and arch pseudoaneurysm.

Case presentation

The patient, a 40-year-old man, presented to the emergency room because of intense retrosternal discomfort for 3 days and hematemesis for 3 h. The esophagoscopy and thoracic enhanced computed tomography (CT) showed two irregular mural ulcers in the esophagus and a large saccular pseudoaneurysm at the aortic isthmus, respectively. The laboratory examinations confirmed no widespread inflammation and infection. We have successfully performed a successful one-stage hybrid treatment for this patient. Six-month follow-up shows the patient is in good condition and the esophagoscopy reveals the two mural ulcers had completely healed.

Conclusion

The treatment decision-making process should depend upon the patients’ specific situations. Our case suggest the one-stage hybrid treatment could be an valuable alternative in some selected patients.
Zusatzmaterial
Additional file 1: The procedure of the placement of an occluder combined with aortic stent for pseudoaneurysm. (MP4 82,688 kb)
12893_2018_335_MOESM1_ESM.mp4
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