[Esophageal-aortic fistula as a complication of a traction diverticulum].
After massive hematemesis esophageal varices were found by radiography and endoscopy in a 79-year-old woman. Two episodes of bleeding could be stopped with the Sengstaken-Blakemore-tube. The patient, however, died after heavy vomitting of arterial blood, although the tube was in the proper position. Atopsy shows a fistula between a tractiondiverticulum of the esophagus and the aorta. A flaringup of an old tuberculosis, demonstrated by histology, caused the colliquating of the wall of the diverticulum and also the arrosion of the aorta.
D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology*; D003951:Diagnostic Errors; D004936:Diverticulum, Esophageal / Q000150:complications*; D004935:Esophageal Diseases / Q000473:pathology; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D004932:Esophageal and Gastric Varices / Q000175:diagnosis; D004947:Esophagus / Q000473:pathology; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D014385:Tuberculosis, Gastrointestinal / Q000473:pathology
Oesophagoaortale Fistel als Komplikation eines Traktionsdivertikels