[Fatal aorto-esophageal fistula as a late complication of traumatic aortic rupture].
We report on a case of a 23 years old man who was polytraumatized in a car accident. He survived with excellent clinical outcome, but 113 days after the accident he collapsed, massive bleeding out of the mouth started and the patient died within a few minutes. A gastric ulcer bleeding was assumed, but autopsy showed the break-in of a posttraumatic aortic aneurysm into the esophagus. The difficulties of in time diagnosis of thoracic aorta lesions are discussed.
Biewener
A
A
Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus der TU Dresden. uwc@rcs.urz.tu-dresden.de
Mobus
U
U
Grass
R
R
Dahlen
C
C
Zwipp
H
H
D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000473:pathology; D001019:Aortic Rupture / Q000473:pathology*; D004937:Esophageal Fistula / Q000473:pathology*; D004947:Esophagus / Q000473:pathology; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000473:pathology*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000473:pathology; D016157:Vascular Fistula / Q000473:pathology*