Keywords
Subclavian arterio-oesophageal fistula, oesophageal carcinoma, gastrointestinal bleeding, Chiari’s triad, exsanguination, sentinel arterial haemorrhage
Abstract
Introduction: Arterio-oesophageal fistulae are a very uncommon cause of severe gastrointestinal bleeding, and mostly result from an aberrant right subclavian artery and mediastinal surgery or prolonged endotracheal/nasogastric intubation.
Material and Methods: We present the case of a patient with an oesophageal adenocarcinoma and haematemesis due to a subclavian arterio-oesophageal fistula after mediastinal radiotherapy.
Conclusion: We discuss the rare, life-threatening condition of acute erosion of the left subclavian artery caused by an oesophageal tumour and presenting with Chiari's triad.
References
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Published:
2021-02-23
Issue:
2021: Vol 8 No 2
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