Peculiarities of diagnosis and emergency surgical care in aorto-oesophageal fistula

Popova I.E.¹, Danielyan Sh.N.², Pogodina A.N.², Chernaya N.R.¹, Muslimov R.Sh.¹, Mironov A.V.³, Kokov L.S.^1,4

1) Department of Radiodiagnosis,
2) Department of Thoracoabdominal Surgery,
3) Department of Emergency Surgery, Endoscopy and Intensive Therapy, Research Institute of Emergency Medicine named after N.V. Sklifosovsky of the Moscow Healthcare Department,
4) Department of Radiodiagnosis of the Institute of Professional Education, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation, Moscow, Russia

An aorto-oesophageal fistula is a rare but life-threatening pathological condition developing on the background of diseases of the aorta and oesophagus, as well as after surgical interventions on the aorta. The article deals with a clinical case report regarding management of a patient presenting with an aorto-oesophageal fistula resulting from a thoracic artery aneurysm. The main clinical manifestations of the diseases included dysphagia (due to oesophageal obstruction caused by thrombotic masses of the aneurysm) and the occurring gastrointestinal haemorrhage. Comprehensive instrumental diagnosis was performed using roentgen examination of the oesophagus, oesophagoscopy, and contrast-enhanced computed tomography of the chest. The obtained findings made it possible to objectively assess the patient’s state, to carry out timely treatment in conditions of a surgical hospital, and to avoid severe complications.

KEY WORDS: aorto-oesophageal fistula, diagnosis, computed tomography, oesophagoscopy, endovascular prosthetic repair of the thoracic aorta, surgery.

P. 114

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