%0 Journal Article
%T Surviving a Catastrophic Upper Gastrointestinal Bleeding Caused by Esophageal-Subclavian Fistula: Case Report
%A Khalid Y. Nabrawi
%A Mohamed-Elbagir K. Ahmed
%A Abdulrahman Y. Asiri
%A Shaima M. Al-Aoun
%A Abdullah M. Alshehri
%A Abdullah H. Alhaizaey
%A Musaad A. Alghamdi
%A Ali S. Alahmari
%J Open Journal of Gastroenterology
%P 209-212
%@ 2163-9469
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojgas.2018.86023
%X 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.
%K Gastrointestinal Bleeding
%K Esophageal-Subclavian Fistula
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=85432