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Seto T, Takano T, Komatsu K, et al. Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection. Ann Vasc Dis. 2014;7(2):191-4doi: 10.3400/avd.cr.14-00020.
Seto, T., Takano, T., Komatsu, K., Ohtsu, Y., Terasaki, T., Wada, Y., Fukui, D., Koike, S., & Amano, J. (2014). Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection. Annals of vascular diseases, 7(2), 191-4. https://doi.org/10.3400/avd.cr.14-00020
Seto, Tatsuichiro, et al. "Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection." Annals of vascular diseases vol. 7,2 (2014): 191-4. doi: https://doi.org/10.3400/avd.cr.14-00020
Seto T, Takano T, Komatsu K, Ohtsu Y, Terasaki T, Wada Y, Fukui D, Koike S, Amano J. Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection. Ann Vasc Dis. 2014;7(2):191-4. doi: 10.3400/avd.cr.14-00020. Epub 2014 Jun 03. PMID: 24995070; PMCID: PMC4072874.
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Ann Vasc Dis. 2014;7(2):191-4. doi: 10.3400/avd.cr.14-00020. Epub 2014 Jun 03.

Delayed esophageal perforation secondary to thoracic aortic aneurysm rupture in a patient with human immunodeficiency virus infection.

Annals of vascular diseases

Tatsuichiro Seto, Tamaki Takano, Kazunori Komatsu, Yoshinori Ohtsu, Takamitsu Terasaki, Yuko Wada, Daisuke Fukui, Shoichiro Koike, Jun Amano

Affiliations

  1. Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
  2. Department of Surgery, Matsumoto Medical Center, Matsumoto, Nagano, Japan.

PMID: 24995070 PMCID: PMC4072874 DOI: 10.3400/avd.cr.14-00020

Abstract

A 65-year-old man infected with human immunodeficiency virus underwent emergency surgery for rupture of a mycotic descending thoracic aneurysm. The aneurysm was replaced with a prosthetic graft wrapped with omentum. Esophageal perforation occurred 3 weeks after surgery. The patient's condition remained stable, and we adopted a conservative treatment. The esophageal fistula had not healed completely and a biopsy of the scar revealed gastric cancer. We performed a distal gastrectomy, Roux-Y reconstruction, and enterostomy for enteral feeding. Follow-up endoscopy revealed healing of the fistula, and the patient was eventually discharged. We managed this potentially fatal complication with minimally invasive treatment.

Keywords: aneurysm rupture; esophageal perforation; human immunodeficiency virus

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