Fatal bleeding in a 1.5-year-old child with aortoesophageal fistula: case report and review of the literature
- Authors: Bataev S.M.1, Magomedov Z.Z.2, Kibalnic D.V.2, Lello A.I.2, Akatiev A.S.2
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Affiliations:
- Pirogov Russian National Research Medical University
- Kamchatka Regional Children’s Hospital
- Issue: Vol 11, No 2 (2021)
- Pages: 177-184
- Section: Case reports
- URL: https://journals.rcsi.science/2219-4061/article/view/123165
- DOI: https://doi.org/10.17816/psaic956
- ID: 123165
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Abstract
Aortoesophageal fistula in children is a very uncommon disease, which in most cases leads to death during the first days from the moment it occurs. Its high mortality is due to the lack of knowledge among doctors about the similarity of the disease in children and the lack of experience treating it. This paper presents the case history of a 1.5-year-old child who was admitted with bleeding from the upper gastrointestinal tract and died 36 hours after admission due to continued massive bleeding at the diagnostic measure stages. An autopsy revealed an aortic aneurysm with a diameter of 1.5 cm, which penetrated the esophageal lumen and formed an aortoesophageal fistula. This article analyzes the treatment results of 17 cases of successfully treating children with aortoesophageal fistula, which we found in the literature. It describes the leading causes and mechanisms of the development of this pathology in children. Also, the article describes the diagnostic and treatment methods for children with aortoesophageal fistula.
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##article.viewOnOriginalSite##About the authors
Saidkhassan M. Bataev
Pirogov Russian National Research Medical University
Author for correspondence.
Email: khassan-2@yandex.ru
ORCID iD: 0000-0003-0191-1116
SPIN-code: 1247-1019
MD, PhD, Chief Researcher
Russian Federation, 1, st.Ostrovetianova, MoscowZaurbek Z. Magomedov
Kamchatka Regional Children’s Hospital
Email: dr.magomedov73@yandex.ru
ORCID iD: 0000-0001-6892-1023
chief of pediatric surgery
Russian Federation, 683024, Petropavlovsk-Kamchatsky, st. Ordgonikidze, 7Dmitriy V. Kibalnic
Kamchatka Regional Children’s Hospital
Email: dr.dmitriy79@gmail.com
ORCID iD: 0000-0003-1980-3906
pediatric surgeon
Russian Federation, 683024, Petropavlovsk-Kamchatsky, st. Ordgonikidze, 7Anastasia I. Lello
Kamchatka Regional Children’s Hospital
Email: alello@yandex.ru
ORCID iD: 0000-0001-9767-9088
pediatric surgeon
Russian Federation, 683024, Petropavlovsk-Kamchatsky, st. Ordgonikidze, 7Andrey S. Akatiev
Kamchatka Regional Children’s Hospital
Email: andrei_akatev@mail.ru
ORCID iD: 0000-0002-0087-4256
pediatric surgeon
Russian Federation, 683024, Petropavlovsk-Kamchatsky, st. Ordgonikidze, 7References
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