Transcatheter arterial embolization for intercostal arterio-esophageal fistula in esophageal cancer

Surgical Case Reports
Tetsuya TajimaNoriaki Takiguchi

Abstract

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. 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. 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.

References

Jul 24, 1998·Acta Oncologica·K NemotoS Yamada
Aug 17, 2005·Journal of Vascular Surgery·Seishiro SekinoTakuya Umemoto
Jul 2, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Hoon ParkJae Hyung Park
May 20, 2016·Medicine·Takahiro TsushimaUNKNOWN Japan Esophageal Oncology Group of Japan Clinical Oncology Group (JCOG)

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Citations

May 23, 2021·Journal of Vascular and Interventional Radiology : JVIR·Lin ZhengHai-Liang Li

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Methods Mentioned

BETA
biopsy

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