A case with an esophageal stent perforated into thoracic aorta

Abstract

　A 49-year-old man with esophageal stenosis by esophageal cancer was treated with a stent insertion. After the procedure, he has had severe chest pain and fever. Four days after stent insertion, sudden hematemesis of about 1000mL with subsequent hemorrhagic shock developed from migration of the stent and esophageal cancer into thoracic aorta and pulmonary hilum. Emergency surgery was performed. Partial esophagectomy and reconstruction, and suture of fistula at pulmonary hilum and thoracic aorta were done with 15000 mL bleeding. He was ventilated in the intensive care unit and was extubated 10 days later. He moved to the ward 12 days after surgery. Aorto-esophageal fistula has high mortality, but this case survived by emergency surgery.