Citation

Pons J, Demoux R, Campan P, Constant T, Le Treut YP. Presse Med. (1983) 1999; 28(15): 781-783.

Vernacular Title

Fistule aorto-oesophagienne mortelle sur corps etranger: un accident previsible?

Affiliation

Service de Chirurgie générale et transplantation hépatique, Hôpital de La Conception, Marseille.

Copyright

(Copyright © 1999, Elsevier Publishing)

DOI

unavailable

PMID

10325932

Abstract

BACKGROUND: The ingestion of foreign bodies is the second most frequent cause of aorto-esophageal fistulization after aneurysms of the thoracic aorta. CASE REPORT: A 28-year-old man died from catastrophic hematemesis 7 days after ingesting a bone splinter. The CT scan performed 3 days before the fatal event had demonstrated a fistulous formation originating in the aorta. DISCUSSION: Aorto-esophageal fistulae develop progressively from the esophageal perforation caused by the foreign body. Clinically, there is medical chest pain, followed by arterial hematemesis and finally terminal exsanguination. Diagnosis must be achieved during the free intervals in this triad of often rapidly succeeding signs.

Language: fr