Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report
Aortoesophageal Fistula (AEF) with no prior history of cardiac disease or trauma is an uncommon but a mortal cause of Upper Gastro Intestinal Bleeding (UGIB) in children. In pediatric patients, AEF is mainly due to a congenital cardiac or vascular anomaly or foreign body ingestion. There are surgic...
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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2022-06-01
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Series: | Archives of Anesthesia and Critical Care |
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Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/409 |
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author | Pouran Hajian Manoochehr Ghorbanpoor Mahshid Nikooseresht |
author_facet | Pouran Hajian Manoochehr Ghorbanpoor Mahshid Nikooseresht |
author_sort | Pouran Hajian |
collection | DOAJ |
description |
Aortoesophageal Fistula (AEF) with no prior history of cardiac disease or trauma is an uncommon but a mortal cause of Upper Gastro Intestinal Bleeding (UGIB) in children.
In pediatric patients, AEF is mainly due to a congenital cardiac or vascular anomaly or foreign body ingestion. There are surgical, endoscopic, and interventional radiological treatment options; however, definitive treatment is surgical intervention. Because of the rapid and devastating course, diagnosis and treatment decision should be made quickly.
In this article, we report a case of an 11-months-old infant who presented with hematemesis due to a primary aortoesophageal fistula. The patient was transported to the operating theater for an emergency endoscopy. He suffered massive hematemesis in the operating room and an emergency laparotomy was performed but no source of bleeding was detected. An undiagnosed AEF was found and repaired during a left thoracotomy. Despite massive volume resuscitation, the patient passed away four hours later in the PICU. The etiology of the fistula remains unknown.
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first_indexed | 2024-04-13T19:29:14Z |
format | Article |
id | doaj.art-a8e11498adb14f6885185c1f2e506ab7 |
institution | Directory Open Access Journal |
issn | 2423-5849 |
language | English |
last_indexed | 2024-04-13T19:29:14Z |
publishDate | 2022-06-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Archives of Anesthesia and Critical Care |
spelling | doaj.art-a8e11498adb14f6885185c1f2e506ab72022-12-22T02:33:15ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492022-06-018310.18502/aacc.v8i3.9619Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case ReportPouran Hajian0Manoochehr Ghorbanpoor1Mahshid Nikooseresht2Department of Anesthesiology, School of Medicine, Clinical Research Development Unit of Beast Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.Department of Pediatric Surgery, School of Medicine, Clinical Research Development Unit of Beast Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.Department of Anesthesiology, School of Medicine, Clinical Research Development Unit of Beast Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. Aortoesophageal Fistula (AEF) with no prior history of cardiac disease or trauma is an uncommon but a mortal cause of Upper Gastro Intestinal Bleeding (UGIB) in children. In pediatric patients, AEF is mainly due to a congenital cardiac or vascular anomaly or foreign body ingestion. There are surgical, endoscopic, and interventional radiological treatment options; however, definitive treatment is surgical intervention. Because of the rapid and devastating course, diagnosis and treatment decision should be made quickly. In this article, we report a case of an 11-months-old infant who presented with hematemesis due to a primary aortoesophageal fistula. The patient was transported to the operating theater for an emergency endoscopy. He suffered massive hematemesis in the operating room and an emergency laparotomy was performed but no source of bleeding was detected. An undiagnosed AEF was found and repaired during a left thoracotomy. Despite massive volume resuscitation, the patient passed away four hours later in the PICU. The etiology of the fistula remains unknown. https://aacc.tums.ac.ir/index.php/aacc/article/view/409Esophageal fistulaGastrointestinal haemorrhageEndoscopyInfant |
spellingShingle | Pouran Hajian Manoochehr Ghorbanpoor Mahshid Nikooseresht Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report Archives of Anesthesia and Critical Care Esophageal fistula Gastrointestinal haemorrhage Endoscopy Infant |
title | Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report |
title_full | Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report |
title_fullStr | Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report |
title_full_unstemmed | Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report |
title_short | Massive Hemorrhage Due to Aortoesoghageal Fistula in an 11-months-old Infant: A Case Report |
title_sort | massive hemorrhage due to aortoesoghageal fistula in an 11 months old infant a case report |
topic | Esophageal fistula Gastrointestinal haemorrhage Endoscopy Infant |
url | https://aacc.tums.ac.ir/index.php/aacc/article/view/409 |
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