Successful management of AEF caused by a chicken bone: case report and literature review Yao yongli

• 出 处: 第二十五届全国中西医结合消化系统疾病学术会议
• 发表日期: 2013年8期

　　Background/AIMS Esophageal foreign body is a common clinical emergency, Aortoesophageal fistula is a rare but commonly fatal complication of foreign body.Reports of successfully managed cases are few, with high mortality and morbidity usually resulting from failure to control the initial massive haemodynamic insult.Methods A 55-year-old man had chest discomfort and sharp retrosternal pain after swallowing a chicken bone 14 days ago.He was presented to our hospital emergency department with small haematemesis.The next day he had another massive haematemesis.During intraoperative endoscopy, the bleeding from esophageal fistula in the esophagus 23 cm from the teeth was seen.Treatment involved stabilising the patient with right thoracotomy incision of descending aorta esophagus, esophageal fistula ligation.In order to prevent postoperative hemorrhage, a descending aortic endovascular stent-graft was inserted.Results We successfully treated a patient with AEF that was caused by the ingestion of a chicken bone.Emergency general anesthesia and right thoracotomy incision of descending aorta esophagus, esophageal fistula ligation suture followed by an descending aortic stent-graft repair.Conclusion In this report, we would like to discuss modem techniques and management strategies we employed in our case, which could optimise the conditions for a favourable outcome in future cases.