Primary aortoesophageal fistula: presenting as massive upper gastrointestinal hemorrhage.
Primary aortoesophageal fistula is a rare cause of upper gastrointestinal bleeding. A six-year-old boy presented with massive upper gastrointestinal hemorrhage. Endoscopy revealed a submucosal bulge in the esophagus with an ulcer and clot at the top. Lateral skiagram of the chest showed a posterior mediastinal mass. CT scan of the chest revealed a ruptured aortic aneurysm into the oesophagus, confirmed the diagnosis. The patient succumbed to the illness before he could be subjected to definitive treatment.
Nijhawan
S
S
Department of Gastroenterology, S.M.S. Medical College, Jaipur.
Patni
T
T
Agrawal
S
S
Vijayvergiya
R
R
Rai
R R
RR
D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis; D002648:Child; D004937:Esophageal Fistula / Q000175:diagnosis*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000150:complications* / Q000175:diagnosis