Wang DQ, Liu M, Fan WJ. Secondary aortoesophageal fistula initially presented with empyema after thoracic aortic stent grafting: A case report. World J Clin Cases 2021; 9(29): 8938-8945 [PMID: 34734078 DOI: 10.12998/wjcc.v9.i29.8938]
Corresponding Author of This Article
Wen-Juan Fan, Chief Doctor, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, Hubei Province, China. juanwenfan1989@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 16, 2021; 9(29): 8938-8945 Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8938
Secondary aortoesophageal fistula initially presented with empyema after thoracic aortic stent grafting: A case report
De-Qiong Wang, Mei Liu, Wen-Juan Fan
De-Qiong Wang, Mei Liu, Wen-Juan Fan, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Author contributions: Wang DQ reviewed the literature and contributed to manuscript drafting; Liu M analyzed and interpreted the imaging findings and endoscopic images; Fan WJ reviewed the literature, drafted the manuscript, and was responsible for revising the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from family members of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Juan Fan, Chief Doctor, Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430030, Hubei Province, China. juanwenfan1989@163.com
Received: June 21, 2021 Peer-review started: June 21, 2021 First decision: July 5, 2021 Revised: July 7, 2021 Accepted: September 2, 2021 Article in press: September 2, 2021 Published online: October 16, 2021 Processing time: 115 Days and 19.2 Hours
Core Tip
Core Tip: Aortoesophageal fistula (AEF) is a rare cause of upper gastrointestinal (GI) bleeding. We present a case of massive upper GI bleeding caused by AEF after thoracic aortic stent grafting. Fever was the main clinical manifestation in the early stage accompanied by later epigastric discomfort. Chest computed tomography showed pulmonary infection and pleural effusion; pleural effusion tests showed empyema. Esophageal endoscopy revealed a large esophageal ulcer. Pulmonary infection and empyema were controlled by antibiotics and symptomatic treatment. However, the patient developed hematemesis and melena (conservative treatment and emergency endoscopic hemostasis were ineffective), subsequently suffering hemorrhagic shock, and discontinued further treatment.
