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Published on: July 11, 2013
Aortoesophageal Fistula Occurring Due to Aortic Aneurysm
Snehasis Das1, Sagar Prakash1, Shweta Singh2
1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Abstract:
Upper gastrointestinal bleeding is a rare presentation of the aortoesophageal fistula (AEF) and is usually caused by thoracic aortic aneurysms. We present the case of a 61-year-old male who presented with chest pain and hematemesis. A chest X-ray showed a widened mediastinum. The patient underwent computed tomography angiography (CTA), which showed the presence of a large aneurysm in the aorta, which caused compression of the trachea, esophagus, and left pulmonary artery. Additionally, there was evidence of an AEF. It was decided to perform an emergency surgical intervention on the patient. However, the patient had multiple episodes of hematemesis and expired.
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