ArticleJournal of surgical case reports2024
Stop exsanguination by inflation: management of aorta-esophageal fistula bleeding.
Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Use of Balloon Tamponade Device for Aortoesophageal Fistula: A Case Report.Clinical practice and cases in emergency medicine · 2026Article
- Successful rescue of a patient with aortoesophageal fistula secondary to anastomotic leak after esophagectomy.BMC surgery · 2026Article
- Endoscopic balloon tamponade for massive bleeding from aorto-esophageal fistula: a simple technique for rapid hemostasis.Endoscopy · 2025Article
- Management of Vascular Complications from Button Battery Ingestions.Current gastroenterology reports · 2025Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aortoesophageal fistula is rare and typically presents itself to the emergency department as Chiari's Triad of mid-thoracic pain, sentinel arterial hemorrhage, and exsanguination after a symptom-free interval. However, fatal bleeding may be the first and last presentation of an aortoesophageal fistula. When a patient experiences massive hematemesis without witnesses, EMS may assume that bleed is of a traumatic mechanism. We present a case of a 59-year-old male with no previous medical history who was transported to a trauma center unconscious and with massive bleeding of unknown origin. Computed tomography revealed a thoracic aortic aneurysm and an aortoesophageal fistula. Bleeding was not controlled and the patient expired. Trauma bay personnel should follow an algorithm which includes a prompt tamponade of the bleed using a Sengstaken-Blakemore tube or esophageal balloon paralleled by massive transfusion and obtaining an early computed tomography scan to manage patients with massive gastroesophageal bleeding until appropriate surgical interventions can be initiated.
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