Aorto-esophageal 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 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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Case information

rID: 49648
Published: 16th Jan 2017
Last edited: 14th Aug 2019
Tag: rdgh
Inclusion in quiz mode: Included

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