Open AccessAortoesophageal Fistula Secondary to Reflux Esophagitis
Author(s) -
Francis J. Podbielski,
Herón E. Rodríguez,
Richard Zhu,
Todd A. Worley,
Jacques P. Fontaine,
Mark W. Connolly
Publication year - 2007
Publication title -
digestive surgery
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.762
H-Index - 69
eISSN - 1421-9883
pISSN - 0253-4886
DOI - 10.1159/000100921
Subject(s) - medicine , aortoenteric fistula , suture line , fistula , gastrointestinal bleeding , surgery , esophagitis , reflux esophagitis , general surgery , reflux , aneurysm , disease , abdominal aortic aneurysm
Aortoenteric fistula is a rare cause of massive upper gastrointestinal bleeding and is in the overwhelming majority of cases due to erosion of a suture line of a prosthetic vascular graft into the bowel. We report the case of a massive fatal gastrointestinal hemorrhage from an aortoenteric fistula secondary to erosion from reflux esophagitis. Proper management requires expedient radiographic and endoscopic evaluation, and even with appropriate management mortality remains extremely high.