A Case Report | Open Access
Volume 2023 - 2 | Article ID 223 | http://dx.doi.org/10.51521/WJCRCI.2023.220117
Academic Editor: Guangyu Li
DR. GIGI BREGADZE, DR. MARIAM GRDZELIDZE
& MR. DAVIT TETVADZE
Department
of Vascular Surgery, New Hospitals, Tbilisi State Medical University, Tbilisi,
Georgia
Corresponding Author: Mr. Davit Tetvadze,
Department of Vascular Surgery, New Hospitals, Tbilisi State Medical
University, Tbilisi, Georgia, Email: tetvadzedavitt@gmail.com
Citation:
Dr.Gigi Bregadze, Dr.Mariam Grdzelidze & Mr. Davit Tetvadze (2023)
Aortic-Esophageal Fistula (AEF)- A Case Report. World J Case Rep Clin Imag.
2023 July-August; 2(2)1-5.
Copyrights: © 2023, Dr.Gigi Bregadze, Dr.Mariam Grdzelidze & Mr.
Davit Tetvadze, This article is licensed under the Creative Commons
Attribution-Non Commercial-4.0-International-License-(CCBY-NC)
(https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and
distribution for commercial purposes require written permission.
ABSTRACT
Aortoesophageal
fistula is one of the rarest causes of bleeding in the upper gastrointestinal
tract. Aneurysm of the thoracic aorta is the leading causing factor in such
cases. The main challenge for doctors is to diagnose timely, because the
disease can be accompanied by massive bleeding and rapid worsening of the
patient's condition. A characteristic symptom is Chiari's triad (chest pain,
hematemesis, symptom-free period after hematemesis). However, the triad is
expressed only in 1/3 of patients. The leading diagnostic tools are
esophago-gastro-duodenoscopy (detection accuracy ≈ 25%) and contrast CT
angiography, which in most cases reveals the disease. After the diagnosis, the
patient's aorta and esophagus are urgently reconstructed by the endovascular method.
Massive bleeding from the esophagus, diagnostic difficulties, and the
insufficient amount of medical equipment in the regions of Georgia make it
difficult, and sometimes the possibility of diagnosing the above-mentioned
disease is missed altogether, and thus complicates the solution. We present a
case of aorto-esophageal fistula, the patient was brought to our clinic from
one of the regions of Georgia, where he was being treated with the following
diagnose: bleeding from an esophageal ulcer. In our hospital the patient was
immediately diagnosed by computed tomography (CT).
Keywords: Aortic-Esophageal Fistula, Computed Tomography, Vascular Surgery, Minimally Invasive Operations, Aortic Aneurysm, Esophagus, Etc.,
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