Aorto-oesophageal fistula

Case contributed by Dr Ian Bickle


Female pensioner with known oesophageal cancer. Oesophageal stent 1 month prior. Haematemasis. Cause?

Patient Data

Age: 74
Gender: Female

Oseophageal stent in situ.

Soft tissue occupying most of the oesophageal lumen at the level of the carina.

Contrast extending from the descending aorta into the lumen of the oesophagus at the level of the pulmonary trunk.

Soft tissue in the para-oesophageal space in keeping with tumour extension.

Case Discussion

Very exciting case - one of my best in the last 5 years.

Known to happen, but rare to experience.  Thankfully.

On the arterial phase CT study the contrast extends across the aorta and through the stented oesophagus at the site of the upper oesophageal tumour.

An aorto-oesophageal fistula.

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Case information

rID: 49648
Published: 16th Jan 2017
Last edited: 2nd Feb 2018
Tag: rdgh
Inclusion in quiz mode: Included

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