Fatal haematemesis from an aorto-oesophageal fistula of obscure aetiology: a case report.
Endoscopy, aortography and laparotomy failed to demonstrate a high aorto-oesophageal fistula of obscure aetiology in a woman presenting with haematemesis. Recognition of Chiari's triad: mid-thoracic pain, sentinel arterial haemorrhage, and final exsanguination after a symptom-free interval, and therapeutic embolization as a mode of therapy, are discussed.
D001018:Aortic Diseases / Q000150:complications*; D003937:Diagnosis, Differential; D004937:Esophageal Fistula / Q000150:complications*; D005260:Female; D005402:Fistula / Q000150:complications*; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008875:Middle Aged