TITLE:
Surviving a Catastrophic Upper Gastrointestinal Bleeding Caused by Esophageal-Subclavian Fistula: Case Report
AUTHORS:
Khalid Y. Nabrawi, Mohamed-Elbagir K. Ahmed, Abdulrahman Y. Asiri, Shaima M. Al-Aoun, Abdullah M. Alshehri, Abdullah H. Alhaizaey, Musaad A. Alghamdi, Ali S. Alahmari
KEYWORDS:
Gastrointestinal Bleeding, Esophageal-Subclavian Fistula
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.8 No.6,
June
22,
2018
ABSTRACT: Arterio-esophageal fistula (AEF), whether congenital or acquired, is a rare condition which can lead to fatal upper gastrointestinal bleeding. We report here a young man who developed a subclavian-esophageal fistula (SEF) secondary to chicken bone impaction in the upper esophagus. The diagnosis was reached by urgent upper endoscopy and Computed Tomography of the chest which showed pseudo-aneurysmal changes at left subclavian artery with leaked contrast through the fistula towered the esophagus. Urgent endo-vascular angiography confirmed the subclavian arterio-esophageal fistula that was managed uneventfully using covered 6mm Viban stent-graft. The patient survived this serious condition and was discharged home in good condition.