[Upper gastrointestinal hemorrhage caused by a fistula from a right anomalous subclavian artery to the esophagus]. / Hemorragia digestiva por fístula de artéria subclávia direita anômala com o esôfago.
Rev Assoc Med Bras (1992)
; 44(2): 149-51, 1998.
Article
em Pt
| MEDLINE
| ID: mdl-9699335
Bleeding from an arterio-esophageal fistula is a rare and nearly lethal condition and surgical treatment is the only curative option. We report a case of bleeding from a fistula from an aberrant right subclavian artery to the esophagus. Diagnosis was made only at necropsy, despite of three previous laparotomies. This anatomical variation is found in 0.5% of the general population. Development of a communication between this artery and the esophagus, secondary to aneurysmatic dilatation or to prolonged nasogastric intubation, as probably occurred with this patient, is a extremely rare condition. Surgical treatment depends on the early recognition of clinical signs of the arterio-esophageal communication, before the onset of systemic complications of hypovolemic shock.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artéria Subclávia
/
Fístula Vascular
/
Fístula Esofágica
/
Hemorragia Gastrointestinal
Limite:
Adolescent
/
Humans
/
Male
Idioma:
Pt
Revista:
Rev Assoc Med Bras (1992)
Ano de publicação:
1998
Tipo de documento:
Article
País de publicação:
Brasil