Aorto-esophageal Fistula: Case Report and Review of the Literature

主動脈－食管瘺管，病例報告及文獻回顧

蔡銘洋(Ming-Yang Tsai) ； 黃彼得(Pe-Teh Huang)

《童綜合醫學雜誌》 14卷2期 (2020/12) Pp. 88-92

https://doi.org/10.3966/207135922020121402006

摘要

Aorto-esophageal fistula is a rare cause of upper gastrointestinal (GI) bleeding. The mortality rate is high if it is not diagnosed early. Hence, physicians should consider this condition, particularly in patients with unexplained or uncontrolled GI bleeding. In most cases, computed tomography angiogram is effective in detecting this condition, and emergent endovascular repair with aortic stent implantation can control the bleeding and can save the patient's life. Herein, we present a male patient with aorto-esophageal fistula bleeding; he was timely diagnosed but still died of massive gastrointestinal bleeding.

關鍵字

aorto-esophageal fistula ； gastrointestinal bleeding ； hypovolemic shock ； upper gastrointestinal endoscopy

並列摘要

主動脈－食管瘺管是上消化道出血的罕見原因。如果沒有及早診斷，死亡率很高。醫生應該對這種情況持高度警覺，特別是對於原因不明或大量的胃腸道出血患者。電腦斷層掃描之血管造影可以檢測大多數病例，主動脈支架植入的緊急血管內修復可以控制出血並挽救患者的生命。我們提出了一個及時診斷但仍然死於大量胃腸道出血的病例。

並列關鍵字

瘺管 ； 主動脈－食管瘺管 ； 胃腸道出血 ； 低血容性休克 ； 上消化道內視鏡