[A fatal aorto-esophageal fistula due a foreign body: a foreseeable accident?].
BACKGROUND
The ingestion of foreign bodies is the second most frequent cause of aorto-esophageal fistulization after aneurysms of the thoracic aorta.


METHODS
A 28-year-old man died from catastrophic hematemesis 7 days after ingesting a bone splinter. The CT scan performed 3 days before the fatal event had demonstrated a fistulous formation originating in the aorta.


CONCLUSIONS
Aorto-esophageal fistulae develop progressively from the esophageal perforation caused by the foreign body. Clinically, there is medical chest pain, followed by arterial hematemesis and finally terminal exsanguination. Diagnosis must be achieved during the free intervals in this triad of often rapidly succeeding signs.
D000328:Adult; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology*; D004630:Emergencies; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D006469:Hemoptysis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology*