title: [Massive hemorrhage from an "esophageal tumor": thoracic aortic aneurysm rupturing into the esophagus].
abstract: We report on an arteriosclerotic aneurysm of the descending aorta penetrating into the esophagus. On endoscopy it mimicked a bleeding esophageal tumour. The typical clinical course of aortoesophageal fistulas (AEF) exhibits Chiari's triad of midthoracic pain, sentinel arterial hemorrhage, usually hematomesis, and final exsanguination after a symptom-free interval. The various causes of AEF are discussed together with the respective diagnostic and therapeutic problems.
authors.affiliation: Abt. f. Allgemeine Chirurgie, Chirurgischen Univ. Klinik, Tübingen.
authors.forename: G
authors.initials: G
authors.lastname: Späth
authors.forename: M
authors.initials: M
authors.lastname: Wehrmann
authors.forename: K
authors.initials: K
authors.lastname: Manncke
authors.forename: R
authors.initials: R
authors.lastname: Walz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000473:pathology; D001014:Aortic Aneurysm / Q000473:pathology*; D001019:Aortic Rupture / Q000473:pathology*; D001161:Arteriosclerosis / Q000473:pathology; D003937:Diagnosis, Differential; D004937:Esophageal Fistula / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000473:pathology*; D004947:Esophagus / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000473:pathology*; D006396:Hematemesis / Q000473:pathology; D006801:Humans
vernacular_title: Massive Blutung aus einem "Osophagustumor": In die Speiseröhre rupturiertes thorakales Aortenaneurysma.