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ESOPHAGEAL-ATRIAL FISTULA RESULTING IN SYSTEMIC MEAT AND VEGETABLE EMBOLI
被引：9
作者：
BELL, MD
TATE, LG
HENSLEY, GT
机构：
[1] Broward Medical Examiner's Office, Department of Pathology, University of Miami Sch. of Medicine, Fort Lauderdale, FL 33312
关键词：
ESOPHAGEAL-ATRIAL FISTULA;
SYSTEMIC EMBOLI;
IATROGENIC INJURY;
ACHALASIA;
ESOPHAGEAL MOTILITY;
DEMENTIA;
D O I：
10.1097/00000433-199206000-00012
中图分类号：
DF [法律];
D9 [法律];
R [医药、卫生];
学科分类号：
0301 ;
10 ;
摘要：
An 85-year-old demented woman died in the state hospital and her death was investigated by our office, based on allegations of neglect. At autopsy, a feeding catheter was found passed through an esophageal-atrial fistula into the left atrium. Fragments of striated muscle and plant wall (cellulose) embolized to the systemic organs including heart, kidney, and brain. Her dilated esophagus suggests a premortem esophageal motility disorder that contributed to the formation of the fistula. This is the first reported case of an esophageal-atrial fistula in the medical literature.
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页码：137 / 141
页数：5
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