Management strategy of a carotid-esophageal fistula with a right common carotid artery pseudoaneurysm due to chicken bone ingestion: A case report and literature review

Common carotid artery (CCA) pseudoaneurysm is a rare clinical disorder. CCA pseudoaneurysm that occurs with a carotid-esophageal fistula and causes massive upper gastrointestinal bleeding is especially uncommon but can be life-threatening. Accurate diagnosis and prompt managements are essential to s...

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Published inFrontiers in surgery Vol. 10; p. 1129488
Main Authors Xu, Dongming, Qian, Haichao, Lian, Lishan, Xie, Miaorong, Zhang, Hanyu
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 11.04.2023
Subjects
case report
common carotid artery pseudoaneurysm
fistula
gastrointestinal bleeding
hemorrhage shock
Surgery
common carotid artery pseudoaneurysm
case report
fistula
gastrointestinal bleeding
hemorrhage shock
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Summary:Common carotid artery (CCA) pseudoaneurysm is a rare clinical disorder. CCA pseudoaneurysm that occurs with a carotid-esophageal fistula and causes massive upper gastrointestinal bleeding is especially uncommon but can be life-threatening. Accurate diagnosis and prompt managements are essential to save lives. Here, we report a case of a 58-year-old female who presented with dysphagia and throat pain after accidental ingestion of a chicken bone. The patient presented with active upper gastrointestinal bleeding which quickly developed into hemorrhage shock. Imaging studies confirmed a diagnosis of right CCA pseudoaneurysm and carotid-esophageal fistula. The patient had a satisfactory recovery after a right CCA balloon occlusion, right CCA pseudoaneurysm excision, and right CCA and esophageal repairs. We present and discuss this case here to remind physicians to rule out rare causes of upper gastrointestinal bleeding. A multidisciplinary approach is commonly required to achieve satisfactory outcomes in these cases.
Bibliography:Reviewed by: Anshuman Darbari, All India Institute of Medical Sciences, Rishikesh, India Flavio Requejo, Garrahan Hospital, Argentina Naveen Anand Seecheran, The University of the West Indies St. Augustine, Trinidad and Tobago
Specialty Section: This article was submitted to Vascular Surgery, a section of the journal Frontiers in Surgery
Edited by: Pavel Skok, Maribor University Medical Centre, Slovenia
Abbreviations CCA, common carotid artery; CT, computed tomography.
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2023.1129488