Aortic aneurysm eroding the esophagus. Case report and review.
A 71-year-old woman developed dysphagia and hematemesis with an endoscopic diagnosis of esophageal submucosal hematoma. Post mortem examination demonstrated an aorto-esophageal fistula as the etiology of her hematemesis. The differential diagnosis of upper gastrointestinal bleeding in the elderly patient without cirrhosis is discussed. A review of the literature on aorto-esophageal fistula is included.
D000368:Aged; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications*; D001018:Aortic Diseases / Q000175:diagnosis; D004935:Esophageal Diseases / Q000209:etiology; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis / Q000209:etiology; D006801:Humans