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Case Reports
. 2009 Dec 21;15(47):6007-9.
doi: 10.3748/wjg.15.6007.

Aortoesophageal fistula: a case misdiagnosed as esophageal polyp

Yue Jiao  1 , Ye Zong, Zhong-Lin Yu, Yong-Zheng Yu, Shu-Tian Zhang
Affiliations
Case Reports

Aortoesophageal fistula: a case misdiagnosed as esophageal polyp

Yue Jiao et al. World J Gastroenterol. .

Abstract

Aortoesophageal fistula (AEF) is a rare and fatal disorder. It is also a life-threatening cause of massive upper gastrointestinal hemorrhage. Thoracic aortic aneurysm is the most common cause of AEF. Management of a patient with this disorder requires rapid diagnosis and immediate intervention, which is considered the best way to save the patient's life. We report a case of AEF misdiagnosed as esophageal polyp.

Keywords: Aortic aneurysm; Aortoesophageal fistula; Gastrointestinal bleeding.

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Figures

Figure 1
Figure 1
Gastroscopy showing a 4 cm fusiform polyp (black arrow) in mid-esophagus.
Figure 2
Figure 2
Gastroscopy showing an orifice-like lesion on the top surface of the polyp (black arrows). A: 1st; B: 2nd.
Figure 3
Figure 3
Barium radiography reported a 2 cm filling defect (black arrow) in the mid-esophagus.
Figure 4
Figure 4
A subsequent enhanced computed tomography (CT) showing a descending aortic pseudoaneurysm (black arrow).
Figure 5
Figure 5
Aortography. The contrast extravasated from the descending aorta rupture with a diameter of about 0.5 cm (black arrow).
See this image and copyright information in PMC

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