Aorto-oesophageal fistula

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 74
Gender: Female
CT

Oseophageal stent in situ.

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

Contrast extending from the descending aortia 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.

A aorto-oesophageal fistula.

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Case information

rID: 49648
Case created: 29th Nov 2016
Last edited: 16th Jan 2017
Tag: rdgh
Inclusion in quiz mode: Included

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