CTICasesAorto-Esophageal Fistula
Imaging findings
Post-stent graft revision for an aortic aneurysm, the patient developed a complex fistula. Esophagrams and CT scans showed extraluminal contrast tracking into the excluded aneurysm sac and surrounding tissues, along with evidence of osteomyelitis in the spine.
Key takeaways
This represents a severe, life-threatening complication resulting from a combination of chronic graft infection and esophageal erosion. Management is extremely difficult, often requiring aggressive medical therapy and potentially complex surgical or endoscopic interventions.
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