Fatal haematemesis in childhood associated with aorto-oesophageal fistula.
A case of fatal haematemesis associated with a non-traumatic, non-tuberculous aorto-oesophageal fistula in a 9-year-old Nigerian boy is presented. Autopsy revealed two inflamed and ulcerated mild-oesophageal pulsion diverticula, one of which had eroded into the right pleura as a sinus track. The second diverticulum had perforated and caused mediastinitis and eventually aorto-oesophageal fistula which led to the fatal haematemesis. A mild chest injury is seen as a precipitating factor of the haematemesis and not the initiator of the pathology.
Datubo-Brown
D D
DD
Department of Surgery, College of Health Sciences, University of Port Harcourt, Nigeria.
Katchy
K O
KO
Gogo-Abite
M R
MR
D001018:Aortic Diseases / Q000150:complications*; D002648:Child; D004937:Esophageal Fistula / Q000150:complications*; D005402:Fistula / Q000150:complications*; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008297:Male; D009549:Nigeria