Presentation
Female pensioner with known esophageal cancer. Esophageal stent 1 month prior. Haematemasis. Cause?
Patient Data
Age: 74
Gender: Female
From the case:
Aorto-esophageal fistula
Axial C+ arterial phase
Oseophageal stent in situ.
Soft tissue occupying most of the esophageal lumen at the level of the carina.
Contrast extending from the descending aorta into the lumen of the esophagus at the level of the pulmonary trunk.
Soft tissue in the para-esophageal space in keeping with tumor 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 esophagus at the site of the upper esophageal tumor.
An aorto-esophageal fistula.
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