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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Main Authors: Pouran Hajian, Manoochehr Ghorbanpoor, Mahshid Nikooseresht
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-06-01
Series:Archives of Anesthesia and Critical Care
Subjects:
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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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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AT manoochehrghorbanpoor massivehemorrhageduetoaortoesoghagealfistulainan11monthsoldinfantacasereport
AT mahshidnikooseresht massivehemorrhageduetoaortoesoghagealfistulainan11monthsoldinfantacasereport