Mycotic Aneurysm of Thoracic Aorta with Aortoesophageal Fistula Mimicking the Esophageal Tumor with Bleeding - a Case Report

細菌性胸主動脈瘤併發主動脈食道瘻管擬似食道腫瘤出血：病例報告

袁維新(Wei-Hsin Yuan) ； 陳振德(Jen-Dar Chen) ； 刁翠美(Chui-Mei Tiu) ； 王志軒(Jih-Shiuan Wang) ； 許慧貞(Hui-Chen Hsu) ； 李建賢(Chen-Hsen Lee) ； 張政彥(Chen-Yen Chang) ； 于俊(Jin Yu)

《The Kaohsiung Journal of Medical Sciences》 18卷5期 (2002/05) Pp. 248-252

https://doi.org/10.6452/KJMS.200205.0248

摘要

主動脈食道瘻管是一種罕見但易致命的疾病，大部分原因與胸主動脈瘤相關。早期診斷和緊急手術治療是存活的必要條件。我們報告一位細菌性胸主動脈瘤併發主動脈食道瘻管病例，臨床症狀表現是間歇性吐血、解黑便和敗血症。起初被臨床及內視鏡檢查方面誤診為食道腫瘤出血，直到注射對比劑顯影之螺旋胸部電腦斷層檢查才確定診斷。在此就主動脈食道瘻管的病因、臨床表現、內視鏡特徵，以及影像上的發現做一回顧。

並列摘要

An aortoesophageal fistula is a rare but fatal disease, most commonly associated with thoracic aortic aneurysm. Early diagnosis and emergency surgical intervention are mandatory for survival. We reported a case of mycotic aneurysm of thoracic aorta with aortoesophageal fistula, presenting with intermittent hematemesis, tarry stool and sepsis. Initially, misdiagnosis of esophageal submucosal tumor with bleeding was made clinically and endoscopically. With contrast-enhanced spiral computed tomography (CT) scan the diagnosis was confirmed. The pathogenesis, clinical presentation, endoscopic feature and imaging findings were reviewed.

並列關鍵字

aortoesophageal fistula ； mycotic aneurysm ； CT scan