Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Review

被引：6

作者：

Kim, Sungbin ^{[1
,2
]}

Jeon, Kyung Nyeo ^{[1
,2
]}

Bae, Kyungsoo ^{[1
,2
]}

机构：

[1] Gyeongsang Natl Univ, Inst Hlth Sci, Dept Radiol, Sch Med, Jinju 52727, South Korea

[2] Gyeongsang Natl Univ, Dept Radiol, Changwon Hosp, Chang Won 51472, South Korea

来源：

DIAGNOSTICS | 2021年 / 11卷 / 02期

关键词：

esophageal fistula; subclavian artery; bleeding; nasogastric; intubation;

D O I：

10.3390/diagnostics11020195

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell's diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. We report a patient with massive gastrointestinal bleeding secondary to aberrant left subclavian artery-esophageal fistula after a prolonged use of nasogastric tube. A high index of suspicion is essential for better prognosis when a patient with congenital aortic arch anomaly shows upper gastrointestinal hemorrhage.

引用

页数：9

共 44 条

[1] ABERRANT RIGHT SUBCLAVIAN ARTERY ESOPHAGEAL FISTULA - A CAUSE OF OVERWHELMING UPPER GASTROINTESTINAL HEMORRHAGE [J].