Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer
Abstract Background While esophageal fistula formation in the adjacent organs is associated with high rates of morbidity and mortality, the management of non-aortic arterio-esophageal fistula has not been frequently reported. Case presentation A 69-year-old Japanese man who had undergone definitive...
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| Language: | English |
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Japan Surgical Society
2017-05-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-017-0345-8 |
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| author | Tetsuya Tajima Shigeo Haruki Shinsuke Usui Koji Ito Akiyo Matsumoto Akiyuki Matsuhisa Noriaki Takiguchi |
| author_facet | Tetsuya Tajima Shigeo Haruki Shinsuke Usui Koji Ito Akiyo Matsumoto Akiyuki Matsuhisa Noriaki Takiguchi |
| author_sort | Tetsuya Tajima |
| collection | DOAJ |
| description | Abstract Background While esophageal fistula formation in the adjacent organs is associated with high rates of morbidity and mortality, the management of non-aortic arterio-esophageal fistula has not been frequently reported. Case presentation A 69-year-old Japanese man who had undergone definitive chemoradiotherapy for esophageal cancer was admitted to our hospital with hematemesis. He was diagnosed with mediastinal abscess caused by esophageal perforation, and esophageal bypass surgery was performed. After 3 days, he presented with fatal hemoptysis. As angiography revealed an intercostal artery pseudoaneurysm, transcatheter arterial embolization was performed. Conclusions When patients with esophageal cancer, especially those with a history of radiotherapy and/or mediastinitis, present with hematemesis and/or hemoptysis, the possibility of non-aortic arterio-esophageal fistula should be considered. Transcatheter arterial embolization is an effective treatment for non-aortic arterio-esophageal fistula. |
| format | Article |
| id | doaj-art-4ff66d9c74ab49a0a8ed7677a2a6ea62 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2017-05-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4ff66d9c74ab49a0a8ed7677a2a6ea622025-08-20T03:56:13ZengJapan Surgical SocietySurgical Case Reports2198-77932017-05-01311510.1186/s40792-017-0345-8Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancerTetsuya Tajima0Shigeo Haruki1Shinsuke Usui2Koji Ito3Akiyo Matsumoto4Akiyuki Matsuhisa5Noriaki Takiguchi6Department of Surgery, Tsuchiura Kyodo General HospitalDepartment of Surgery, Tsuchiura Kyodo General HospitalDepartment of Surgery, Tsuchiura Kyodo General HospitalDepartment of Surgery, Tsuchiura Kyodo General HospitalDepartment of Surgery, Tsuchiura Kyodo General HospitalDepartment of Radiology, Saitama Cancer CenterDepartment of Surgery, Tsuchiura Kyodo General HospitalAbstract Background While esophageal fistula formation in the adjacent organs is associated with high rates of morbidity and mortality, the management of non-aortic arterio-esophageal fistula has not been frequently reported. Case presentation A 69-year-old Japanese man who had undergone definitive chemoradiotherapy for esophageal cancer was admitted to our hospital with hematemesis. He was diagnosed with mediastinal abscess caused by esophageal perforation, and esophageal bypass surgery was performed. After 3 days, he presented with fatal hemoptysis. As angiography revealed an intercostal artery pseudoaneurysm, transcatheter arterial embolization was performed. Conclusions When patients with esophageal cancer, especially those with a history of radiotherapy and/or mediastinitis, present with hematemesis and/or hemoptysis, the possibility of non-aortic arterio-esophageal fistula should be considered. Transcatheter arterial embolization is an effective treatment for non-aortic arterio-esophageal fistula.http://link.springer.com/article/10.1186/s40792-017-0345-8Esophageal cancerArterio-esophageal fistulaIntercostal arteryTranscatheter arterial embolization |
| spellingShingle | Tetsuya Tajima Shigeo Haruki Shinsuke Usui Koji Ito Akiyo Matsumoto Akiyuki Matsuhisa Noriaki Takiguchi Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer Surgical Case Reports Esophageal cancer Arterio-esophageal fistula Intercostal artery Transcatheter arterial embolization |
| title | Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer |
| title_full | Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer |
| title_fullStr | Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer |
| title_full_unstemmed | Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer |
| title_short | Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer |
| title_sort | transcatheter arterial embolization for intercostal arterio esophageal fistula in esophageal cancer |
| topic | Esophageal cancer Arterio-esophageal fistula Intercostal artery Transcatheter arterial embolization |
| url | http://link.springer.com/article/10.1186/s40792-017-0345-8 |
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