| CASE REPORT |
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| Year : 2013 | Volume
: 18
| Issue : 3 | Page : 124-126 |
Aortoesophageal fistula in a child
Shasanka Shekhar Panda1, Sandeep Agarwala1, Sushil Kumar Kabra2, Ruma Ray3, Nidhi Sugandhi1, Abdus Sami Bhat2, Rakesh Lodha2, Prashant Joshi3, Akshay Kumar Bisoi4, Arundeep Arora5, Arun Kumar Gupta5
1 Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
2 Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India
3 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
4 Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
5 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Sandeep Agarwala
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.116051
Aortoesophageal fistulae (AEF) are rare and are associated with very high mortality. Foreign body ingestions remain the commonest cause of AEF seen in children. However in a clinical setting of tuberculosis and massive upper GI bleed, an AEF secondary to tuberculosis should be kept in mind. An early strong clinical suspicion with good quality imaging and endoscopic evaluation and timely aggressive surgical intervention helps offer the best possible management for this life threatening disorder. Our case is a 10-year-old boy who presented to the pediatric emergency with massive bouts of haemetemesis and was investigated and managed by multidisciplinary team effort in the emergency setting.
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