Aortoesophageal fistula after perigraft abscess with characteristic CT findings.

Abstract:

:Aortoesophageal fistula is a rare cause of massive gastrointestinal hemorrhage, and may occur as a sequela to prosthetic replacement of the thoracic aorta. Esophageal compression necrosis with leakage of microorganisms into the proximal suture line is probably central to pathogenesis. Like the more common aortoduodenal fistula, diagnosis by traditional radiographic and endoscopic methods is difficult. We report here such a fistula, in which computed tomographic soft tissue abnormalities were characteristic of perigraft abscess; fistulization occurred subsequently. CT holds potential for being a sensitive study to show localized perivascular infection, an important precursor to aortoenteric fistula, and as such should be positive early in the development of a fistula.

journal_name

J Clin Gastroenterol

authors

Tierney LM Jr,Wall SD,Jacobs RA

doi

10.1097/00004836-198412000-00009

subject

Has Abstract

pub_date

1984-12-01 00:00:00

pages

535-7

issue

6

eissn

0192-0790

issn

1539-2031

journal_volume

6

pub_type

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