Hong Kong Med J 2013;19:542–4 | Number 6, December 2013
Aorto-oesophageal fistula and aortic pseudoaneurysm caused by a swallowed fish bone
KJ Sia, GD Ashok, FMA Ahmad, Catherine KL Kong
Otorhinolaryngology Department, Faculty of Medicine, University of Malaya, Malaysia
We describe a rare case of aorto-oesophageal fistula and aortic pseudoaneurysm in a middle-aged man, who presented with chest pain and haematemesis 1 week after swallowing a fish bone. Oesophagogastroduodenoscopy and computed tomographic angiography findings were consistent with oesophageal perforation, proximal descending aortic pseudoaneurysm, and aorto-oesophageal fistula. Thoracic endovascular aortic repair was performed. The patient died from severe mediastinal sepsis. Early surgical intervention and broad-spectrum antibiotic therapy are crucial in preventing life-threatening mediastinal infection.
Key words: Aneurysm, false; Esophageal fistula; Esophagus; Vascular fistula
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