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Updated: May 16, 2026
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
A young patient with massive haematemesis
Salman Abdulaziz1, Nabil Abou-Shala, Ibrahim Al-Sanouri
1Adult Critical Care Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. dr-salman@hotmail.com
BMJ Case Reports
|November 29, 2012
Summary
Aortoesophageal fistula (AEF) is a rare, fatal complication of aortic stent grafts. This case highlights the challenges in managing catastrophic bleeding from AEF after prior thoracic aortic injury repair.
Area of Science:
- Cardiovascular Surgery
- Gastroenterology
- Trauma Surgery
Background:
- Aortoesophageal fistula (AEF) is a rare but life-threatening condition.
- It often presents as severe gastrointestinal hemorrhage, necessitating emergency surgical intervention.
Observation:
- This report details a case of AEF secondary to endovascular stent grafting of the ascending thoracic aorta.
- The patient had a history of traumatic injury to the aorta.
Findings:
- The patient experienced catastrophic hematemesis, a sign of AEF.
- Management involved repeated endovascular stent graft deployment and aortic bypass surgery.
- Despite interventions, the patient succumbed to massive hemoptysis.
Implications:
- This case underscores the critical risks associated with aortic stent grafting, particularly in patients with prior aortic trauma.
- Effective management strategies for AEF remain a significant challenge in emergency surgical settings.
- Further research into preventative measures and improved treatment protocols for AEF is warranted.
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